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Flashcards in Uterine Pathology Deck (27)
1

In the secretory phase, endometrium has a coiled corkscrew appearance. secretes glycogen. More tortuous (turns and twists)

ycauses

2

causes of bleeding in adolescence/early reproductive life/

DPEB - DUB, pregnancy/ectopic, endometritis, bleeding disorder

3

reproductive perimenopause?

HYPERPLASIA, ENDOMETRITIS,LEIOMYOMA,POLYP,PREGNANCY,ADENOMYOSIS, EXOGENOUS HORMONES, DUB, BLEEDING DISORDERS, NEOPLASIA

4

post menopause?

bleeding disorder, exogenous hormones, endometritis, polyp, cancer

5

TVUS is an endometrial thickness of >4mm post menopausal and >16 pre menopausal. It is taken as an indication for?

biopsy

6

what is the most thorough sampling method for endometrium

dilation and curretage

7

which condition do you get at ends of reproductive life, corpus lute doesn't form, and get continued growth of the functionalis layer?

DUB

8

in ovulatory, what is the problemm?

corpus lute doesn't produce enough progesterone

9

glands and storm continue to grow. last mensrual period was 8 weeks ago

DUB

10

what protects the endometrium from ascending infection?

cervical mucus plug

11

what makes the endometrium relatively resistant to infection?

constant shedding

12

causes of endometritis?

either microorganisms or inflammation

13

which micro organisms cause endometritis?

neisseria, chlamydia, TB, CMV, actinomyces, HSV

14

what sort of inflammation?

IUCD, post curettage, post partum/abortal, chronic endometritis, granulomatous,

15

chronic plasmacytic endometritis is ________until proven otherwise

infective

16

common around menopause, usually asymptomatic, may present with bleeding or discharge

polyp

17

polyps are almost always benign

y

18

trophoblastic disease which grows as a mass characterised by SWOLLEN chorionic villi?

molar pregnancy

19

how can they be divided?

partial or complete

20

how do these come about?

sperm combine with an egg which has no DNA

21

only paternal DNA is present in a complete mole

y

22

in a partial mole, 1 egg is fertilised by?

2 sperm

23

which moles are at higher risk of developing in to a choriocarcinoma?

complete

24

what is adenomyosis?

endometrial glands and storm within the myometrium

25

when would you get this?

perimenopausal (only one with a)

26

causes bleeding, menorrhagia and dysmenorrhoea

y

27

leiomyoma. pain, pressure symtoms, tenderness, smooth echogenic mass on US, can be single or multiple, commonest cause of pelvic mass. what are they dependant on for growth

oestrogen