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Flashcards in GYN Deck (23):
1

Adler sign:

Distinguish appendicitis from adnexal or uterine pain.

==> If the point of maximal tenderness shifts medially with repositioning on the left lateral side ==> Etiology generally gynecologic.

2

Antley-Bixler syndrome:

Trapezoidocephaly-synostosis syndrome.

Midface hypoplasia — hymeroradial synostosis — bowing of femora — fractures.


==> FGFR2 inactivating mutations. (Apert syndrome also FGFR2 mutations)

==> Occasionally a/w AMBIGUOUS GENITALIA.

3

Asherman’s syndrome:

Intrauterine synechiae.

==> May occur post-curettage of the uterus.

==> Presenting as amenorrhea.

4

Brenner tumor:

Benign ovarian tumor composed of epithelial cells in CLUSTERS WITHIN A DEEP FIBROUS STOMA.

5

Call-Exner bodies:

In GRANULOSA CELL TUMORS involving ovary ==>

Small follicles filled w/ eosinophilic secretion.

==> An important diagnostic feature.

6

Chadwick’s sign:

Blue-red PASSIVE hyperemia of the cervix that may appear after 7th wk of pregnancy.

==> May also be seen in a/w TUMOR.

==> Results from congestion of mucosa and most visible in ANTERIOR VAGINAL WALL.

7

Cullen’s sign:

A faintly blue coloration, particularly of the umbilicus, as a result of retroperitoneal bleeding from any cause, but especially in RUPTURED ECTOPIC PREGNANCY.

(1-2% in acute pancreatitis).

8

Doderlein’s lactobacilli:

Lactobacillus acidophilus.

==> Metabolizes the glycogen in glycogen rich cells which are exfoliated in the vagina pre-menopause to lactic acid, resulting in a decrease in pH to 3.5-5.

9

Grafenberg spot:

G-spot.

Erogenous area in anterior vaginal wall.

10

Hunter’s ligament:

Round ligament of uterus.

11

Kelly’s sign:

Visible peristalsis of the ureter in response to squeezing or retraction.

==> Used to identify the ureter during surgery.

12

Lipschultz ulcer:

Vulvar ulcer.

13

Lynch II:

All features of Lynch I with early onset of carcinoma at other sites including:

Endometrium — ovaries — stomach — upper tract TCC.

14

Maffucci’s syndrome:

ENCHONDROMATOSIS a/w soft tissue hemangiomas.

==> A/w ovarian carcinomas + brain gliomas.

***Essentially Ollier’s disease w/ hemangiomas.

15

Hydatids of Morgagni:

Fallopian tube cysts found near the fimbriated end or in the broad ligaments.

16

Pfannenstiel’s incision:

Low transverse abdominal incision w/ retraction of the rectus muscles laterally.

Used in ob/gyn procedures.

17

Sampson’s artery:

Artery found within and nourishes round ligament of uterus.

18

Schiller-Duval body:

In endodermal sinus tumor (yolk sac tumor), tumor cells arranged around a capillary.

19

Shelley’s sign:

In aortic regurgitation, pulsation of the cervix.

20

Sims-Huhner test:

Post-coital test, done 2-4hr after intercourse to assess number and motility of sperm that have entered the cervical canal.

21

Stein-Leventhal syndrome:

PCOS.

22

Villar’s nodule:

UMBILICAL endometriosis.

23

Word catheter:

A catheter w/ an inflatable balloon tip used from draining cysts.

==> Bartholin gland abscesses, described by Word in 1968.