Estrogen exposure; adeno 1. Fat and old 2. Young with PCOS 3. Thin and old on hormones 4. Granulosa-theca tumor

Ob/Gyn Flashcards by Denise Nelson

Mammary Pagets is associated with

Adenocarcinoma

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Complex multiloculated adnexal mass with thick walls and internal debris

Tubo-ovarian abscess

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Klumpke palsy

C8 and T1
“claw hand”: extended wrist, hyperextended MCP, absent grasp
Horner syndrome
Intact Moro and biceps reflex

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Erb-Duchenne palsy

C5-6
“waiters tip”: extended elbow, pronated forearm, flexed wrist & fingers
Intact grasp reflex; decreased morro and biceps

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Fx humerus or clavicle during birth

Bony crepitus

Decreased moro reflex d/t pain

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Theca lutein cysts

Multilocular, bilateral, ovaries 10-15cm

Due to ovarian hperstimulation from trophoblastic disease or multi gestation

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Pudendal nerve injury

During labor

Perianal sensation and wink reflex

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Nodules in the recto-vaginal septum, posterior cul-de-sac or uterosacral ligament

Endometriosis

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Granulosa cell tumors

Produce estrogen (high estradiol and inhibin); chronic, unopposed estrogen -> endometrial hyperplasia and postmenopausal bleeding OR precocious puberty

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Prior HSV infection during pregnancy

Antivirals at 36 weeks

C-section if lesions or prodromal sx during labor

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Extremely elevated AFP

NTD, ventral wall defects, multiple gestations

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GU syndrome of menopause

Dryness, dyspareunia, bleeding, incontinence, UTIs, pelvic pressure
Looks like lack of estrogen
Give topical estrogen

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HPV screening

21-65
Abnml -> colposcopy
Endocervical + -> cone biopsy
ASCUS -> repeat pap q3m or HPV DNA

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Endometrial cancer

Estrogen exposure; adeno

Fat and old
Young with PCOS
Thin and old on hormones
Granulosa-theca tumor

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Epithelial ovarian carcinoma

Trauma of ovulation
Presents: renal failure, SBO, ascites cystadenos and Brenner
Solid mass with thick separations

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Endodermal sinus tumor

Type of germ cell tumor

Elevated AFP

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Vulvar cancer

Most common: SCC
Black lesions: melanoma
Red lesions: pagets
All will have pruritis

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Symmetric FGR

Chromosomal anomalies or congenital infections

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Asymmetric FGR

Vasculopathy

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When to give Rhogam?

28-32 weeks

<72 hours of delivery

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Homogenous cystic adnexal mass

Endometriosis

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PID

Study These Flashcards

Gonorrhea think the sketch!

Lichen planus

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Itching, dyspareunia, vaginal involvement
white lesion, oral ulcers OR purple papules
Biopsy
Treat with corticosteroids

Lichen sclerosis

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White lesions, itching

NO vaginal involvement

Mullerian agenesis

No uterus or cervix; otherwise normal secondary sex characteristics Normal testosterone and FSH Check the kidneys

5-alpha-reductase deficiency

46,XY that appear female until puberty | Virilization

Androgen insensitivity

X-linked; 46XY Looks female, breast, no axillary or pubic hair Female external genitalia; no uterus, cervic and upper 1/3 vagina Cryptorchid testes

Intraheaptic cholestasis of pregnancy

3rd trimester, pruritic (hands and feet), no rash, RUQ pain Risks: demise, preterm, meconium, RDS Deliver at 37 weeks, ursodeoxycholic acid

Placenta previa risks

Prior c-section, prior placenta previa, multiple gestation, advanced maternal age

Risk factors for shoulder dystocia

Macrosomia, maternal obesity, excessive weight gain, GDM, post-term

Bloody nipple discharge

intraductal papilloma

Normal 3-hr glucose tolerance

<140

Melasma

Hyperpigmentation on sun-exposed areas; common in pregnancy

Tamoxifen risks

Hot flashes, DVT, endometrial hyperplasia/carcinoma

Sx of endometriosis

Chronic pelvic pain, dysmenorrhea, deep dyspareunia, dyschezia Small, non-tender uterus that is immobile

Dx chorioamnionitis

Maternal fever + fetal tachy OR maternal leukocytosis OR purulent amniotic fluid

DCIS

Microcalcifications on mammography

Fibroadenoma

Solitary, painless, firm, mobile mass

Breast pain and diffuse nodularity

Fibrocystic change (usually post menopause)

Inflammatory breast cancer

Diffuse erythema and peau d'orange

Lobular breast carcinoma

fixed, palpable mass with irregular borders

Adenomyosis

Endometrial tissue in the uterine myometrium Dysmenorrhea, heavy bleeding, pelvic pain, uterine enlargement Boggy, tender uterus

Aromatase deficiency

Converts androgens into estrogens -> excess androgens but otherwise normal (Can also have masculinization of mother during pregnancy)

Classic congenital adrenal hyperplasia

Female: ambiguous external genitalia w/ normal internal organs; electrolyte abnormalities

Kallmann

X-linked Hypogonadrtropic hypogonadism w/ anosmia LH and FSH low

McCune-Albright

Cafe au lait, polyostoic fibrous dysplasia and autonomous endocrine Precocious puberty

Primary ovarian insufficiency

Amenorrhea, lack of progesterone with draw bleeding, low estrogen, elevated FSH

Functional hypothalamic amenorrhea

Nutrient deficiency women No withdraw bleeding after progesterone due to low estrogen FSH low

Intrauterine adhesions (synechiae)

Asherman syndrome | Risks: infection or intrauterine surgery

Theca lutein cyst

Cystic, bilateral ovarian masses Virilization risk of mother Regress after deliver

Optimal fetal presentation

occiput anterior

When do you do oral glucose challange?

24-28 weeks

Hirsutism in women with normal testosterone

5-alpha reductase excess

Risk factors for PPROM

Previous PPROM, GU infection, bleeding

Ob/Gyn Flashcards

(54 cards)