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Pathophysiology - Female Reproductive System
Fall Semester - 2010 (Test 5 - PPT 3 - 5)
28
Medical
Graduate
11/17/2010

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Cards

Term
What is thelarche?
Definition
development of breasts
Term
What is adrenarche?
Definition
development of pubic and axillary hair
Term
What is menarche?
Definition
first menstrual period
Term
What does oxytocin cause in the uterus? What does oxytocin cause in the mammary glands?
Definition
Uterus contraction (birth)
Mammary glands cause milk release ("let down")
Term
What does LH cause in the gonads?
Definition
Causes gonads to release sex hormones
Term
What does FSH cause in the gonads?
Definition
growth of the reproductive organs
Term
What does LH cause in the ovaries? in the testes?
Definition
in ovaries causes ovulation
in testes causes release of testosterone
Term
What does FSH cause in the ovaries? in the testes?
Definition
In ovaries causes release of estrogen
in testes causes release of inhibin
Term
What does PRL cause in the ovaries? in the mammary glands?
Definition
in ovaries causes release of estrogen and progesterone
In mammary glands causes milk production
Term
What major condition can maternal exposure of DES lead to in the daughter?
Definition
Cervical dysplasia that leads to clear cell carcinoma
Term
What hormone causes ovulation? What day of the cycle does this occur?
Definition
LH causes ovulation; occurs during day 14
Term
What days does the follicular phase of the menstrual cycle encompass? What hormone is involved during this phase and what effect does it have?
Definition
Days 1 (of menstrual flow)- 14
FSH causes growth of endometrium
Term
What med is used to treat ectopic pregnancy (early)?
Definition
Methotrexate causes a cease in the development of the embryo and spontaneous abortion to occur
Term
What is one of the first symptoms of pregnancy?
Definition
Creates breast swelling, pain and tenderness
Term
What is menorrhagia?
Definition
abnormally heavy or long menstrual periods
Term
What is Metorrhagia?
Definition
Bleeding between periods. Uterine bleeding other than that caused by menstrual period
Term
What is Menometorrhagia? In which pts does this most commonly occur?
Definition
Abnormal heavy or long uterine bleeding other than that caused by menstruation, bleeding at irregular intervals
Occurs most commonly in young pts
Term
What is polymenorrhia? What condition usually coincides with this?
Definition
frequent menstrual periods; anemia usually coincides with this
Term
What is hypomenorrhia?
Definition
unusual light menstrual flow
Term
What is oligomenorrhia?
Definition
Menstrual bleeding at more than 35-day intervals; decreased amount
Term
What is contact bleeding? Is this normal or abnormal?
Definition
Bleeding after coitus; abnormal
Term
What can contact bleeding be caused by?
Definition
erosion, cervical polyps, vaginitis or cervicitis
Term
If primary amenorrhea is accompanied by increased levels of FSH, what is the most likely underlying cause?
Definition
Primary Ovarian Failure
Term
If primary amenorrhea is accompanied by decreased levels of FSH, what is the most likely underlying cause?
Definition
Likely hypothalamus or pituitary
Term
What is the first cause you should look into with amenorrhea? What are some other underlying causes?
Definition
PREGNANCY!!
Anemia, DM, and thyroid abnormalities
Term
What is the length of time at which secondary amenorrhea is diagnosed for pts who had a hx of a regular period? for pts who had hx of oligomenorrhea?
Definition
regular to secondary amenorrhea = x 6 mo
oligomenorrhea to secondary amenorrhea = x 12 mo
Term
If secondary amenorrhea is accompanied by hypoestrogenic what underlying conditions should you suspect?
Definition
CN or gonadal defect
Term
If secondary amenorrhea is accompanied by adequate estrogen what underlying conditions should you suspect?
Definition
PCOS (Polycystic Ovarian Syndrome), Asherman's syndrome
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