Shared Flashcard Set

Details

Path Female
KYCOM Block 16
33
Pathology
Graduate
05/15/2014

Additional Pathology Flashcards

 


 

Cards

Term
herpes simplex: timeline, appearance
Definition
lesion 3-7d post intercourse
painful red papule on vulva > vesicle > ulcer (has virus particles)
Term
herpes simplex: symptoms 5
Definition
papule
leukorrhea (white discharge) when on cervix or vagina
fevere
malaise
tender inguinal nodes
Term
herpes simplex: transmission
Definition
in active or latent phase but more in active
greatest danger is to neonate during birth which can cause systemic infection
Term
herpes somplex: prognosis
Definition
heal in 1-3wk but remain latent in regional nerve ganglia
2/3 have reoccurrance
Term
candidia infection: cause 4, signs 3, diagnosis
Definition
10% are carriers, DM, contraceptives, pregnancy promote infection

small white patches, leukorrhea, puritis

wet mount or culture
Term
trichomonas vaginalis signs 3
Definition
discomfort
frothy discharge
strawberry cervix
Term
what is the most common vaginal infection of childbearing age
Definition
bacterial vaginosis
Term
bacterial vaginosis: 5
Definition
imbalance of flora
multiple partners
douching
pregnancy
smoking
Term
bacterial vaginosis: signs 4
Definition
fish like ordor
gray discharge
burning/itching
frequently asymptomatic
Term
bacterial vaginosis: diagnosis 4
Definition
clue cells
fishy odor with 10% KOH
vaginal pH >4.5
thin homogenous discharge
Term
bacterial vaginosis: tx and prognosis
Definition
ASSOCIATED WITH PROM/PREMATURE BIRTH
may ascend causing PID
Term
4 signs of PID
Definition
pelvic pain
adenexal tenderness (by fallopian tubes)
fever
vaginal discharge
Term
cause of PID non-pregnancy associated 3
Definition
gonococci
chalmydiae
enteric bacteria
Term
cause of PID post partum or abortion 4
Definition
STAPHLOCOCCI
STREPTOCOCCI
COLIFORMS
CLOSTRIDIUM
Term
signs of gonococcal PID 5
Definition
inflammation of glands (bartholin) 2-7d post inoculation

acute suppurative reaction: inflammation of superificial mucosa SPARING ENDOMETRIUM AND INVOLVING TUBES

cervical involvement: thick white dishcarge

acute suppurative salpingitis

proteolysis of inflammatory cells causes serous fluid accumulation
Term
suppurative salpingitis 4 signs
Definition
tubal serosa hyperemic: layered with fibrin

fimbrae leak exudate

salpingo-oophoritis: fimbrae seal to ovary and infect it

tubo-obarian abscess: difficult to tx
Term
gonococcal PID tx and prognosis
Definition
microbe will go away with time or antibiotics but ABSCESS IS DIFFICULT TO TX

if pt is sexually active just treat for PID
Term
post partum or abortion PID signs
Definition
LESS EXUDATE IN TUBE OR MUCOSA, GREATER DEEP INVOLVEMENT

infection spreads through wall to serosa

spreads up uterus via lymphatics and blood

BACTEREMIA IS FREQUENT
Term
post partum or abortion PID tx
Definition
more difficult to control with antibiotics

surgical removal of organ may be needed
Term
general lab signs of PID 6
Definition
elevated ERS/CRP
temp >101
bacteria growth
WBC in vaginal secretions
endometrosis in biopsy
fluid filled tubes on U/S or MRI
Term
vulva anatomy
Definition
labia majora
labia minora
vestibule
up to hymen
squamous epithelium
Term
vulvar non-neoplastic epithelial disorder signs 4
Definition
white
scaly
plaque like mucosal thickening
cause vulvar discomfort or puritis
Term
vulvar non-neoplastic epithelial disorder ddc
Definition
vitiligo
inflammatory dermatoses (psoriasis)
extramammary pagets
carcinoma insitu
invasive carcinoma
Term
types of vulvar non-neoplastic epithelial disorders 2
Definition
lichen sclerosis
lichen simplex chronicus
Term
lichen sclerosis aka, epidemiology, cause
Definition
chronic atrophic vulvitis
AFTER MENOPAUSE
autoimmune
Term
lichen sclerosis: morphology 5
Definition
hyperkeratosis
atrophy of epidermis
no rete pegs
subepithelial and dermal fibrosis
band like lymphocytic infiltrate
Term
lichen sclerosis signs 4
Definition
atrophy of labia
suepithelial fibrosis
narrow introitus
litch scratch cycle
Term
tx and prognosis lichen sclerosis
Definition
topical streroids to prevent VIN
itch scratch cycle causes squamous hyperplasia then atypia caising VIN (SCC precursor)
Term
lichen simplex chronicus: cause, 3 signs
Definition
scratching to relieve puritis
leukoplakia
thick lethan vulvar skin
chronic irritation
Term
lichen simplex chronicus: morphology 4
Definition
acanthosis
hyperkeratosis of vulva squamous epithelium
epithelium thickened
mitotic activity in basal and prickle layers
Term
lichen simplex chronicus prognosis
Definition
not significant cancer precursor unless coexisting atypia
Term
condyloma acuminatum (venerial wart): cause
Definition
HPV 6 or 11 (DNA virus), usually multiple
Term
condyloma acuminatum signs
Definition
multiple squamous lesions with verrucous (warty) appearance on perineal,vulvar, and eprianal regions, vaginal sometimes cervix
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