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trueger
repro path 1
47
Other
Not Applicable
05/21/2006

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Term
bicornuate uterus
Definition
fr incl fusion of paramesonephric ducts
UT abnls & infert
Term
hypospadias
Definition
abnl opening on inf (ventral) penis
failure of urethral folds to close
more common, fix to prev UTIs
Term
epispadias
Definition
abnl opening on sup (dorsal) penis
faulty positioning of genital tuburcle
assocd w. bladder exstrophy
Term
fr incl fusion of paramesonephric ducts
UT abnls & infert
Definition
bicornuate uterus
Term
abnl opening on inf (ventral) penis
failure of urethral folds to close
more common, fix to prev UTIs
Definition
hypospadias
Term
abnl opening on sup (dorsal) penis
faulty positioning of genital tuburcle
assocd w. bladder exstrophy
Definition
epispadias
Term
klinefelters
Definition
test atrophy, eunichoid body, tall, long extrems, gynecomast, female hair distr, barr bodies
common cause of hypogonad in infert workup
Term
turners
Definition
short, ov dysgen (streak ov), webbed neck, coarc ao
most common cause of prim ammen
Term
double y
Definition
pheno nl, tall, acne, antisocial in 1-2%, higher in prison inmates
Term
test atrophy, eunichoid body, tall, long extrems, gynecomast, female hair distr, barr bodies
common cause of hypogonad in infert workup
Definition
klinefelters
Term
short, ov dysgen (streak ov), webbed neck, coarc ao
most common cause of prim ammen
Definition
turners
Term
pheno nl, tall, acne, antisocial in 1-2%, higher in prison inmates
Definition
double y
Term
female pseudo hermaphr
Definition
xx w. ovaries but ambig or male external
due to exc and inappr exposure to andrs early in gestation

ex. CAH or exog androgens in preggers

Term
male pseudo hermaphr
Definition
xy w. tests bus female or ambig external
most common: AIS (test feminization)
Term
xx w. ovaries but ambig or male external
due to exc and inappr exposure to andrs early in gestation

ex. CAH or exog androgens in preggers

Definition
female pseudo hermaphr
Term
xy w. tests bus female or ambig external
most common: AIS (test feminization)
Definition
male pseudo hermaphr
Term
true hermaphr
Definition
46xx or 47 xxy
both ov & test, ambig gen, v rare
Term
46xx or 47 xxy
both ov & test, ambig gen, v rare
Definition
true hermaphr
Term
AIS
Definition
46xy -> nl appearing female
defect in andrR -> female external
short blind ending vag, no ut or tubes
testes, often in lab maj (remove surg to avoid CA)
test, estr, LH all high
Term
5 a reductase def
Definition
unable to test-> dht
ambig gen until pub, then masc'n
nl test/estr levels, LH nl or up
Term
unable to test-> dht
ambig gen until pub, then masc'n
nl test/estr levels, LH nl or up
Definition
5 a reductase def
Term
BPH
Definition
common in >50yo
incr estradiol? -> up sens to DHT?
nod enlgment periurethral (tz) (lat & middle)
compress urethra into a vertical slit-> polyuria, nocturia, diff start & stopping, dysuria
can lead to bladder dist'n'n & hypertrophy, hydronephrosis and uts, but not CA
Term
prostate adCA
Definition
common in >50yo
posterior zone, hard nodule on DRE, bx
PSA, osteobl mets -> up alk phos & PSA
Term
hydatidiform mole
Definition
path ovum (empty egg = no DNA) -> cytic swelling of chor villi & prolif of chor epith (trophoblast)
most common precursor to chorCA
high b hCG, honeycomb uterus, cluster of grapes
Term
complete hydatidiform mole
Definition
46xx
all paternal, no fetus
Term
partial hydatidorm mole
Definition
triploid, fetal parts
Term
46xx
all paternal, no fetus
Definition
complete hydatidiform mole
Term
triploid, fetal parts
Definition
partial hydatidorm mole
Term
pre-eclampsia
Definition
HTN, proteinuria & edema
Term
eclampsia
Definition
HTN, proteinuria & edema
and seizures
Term
HTN, proteinuria & edema
Definition
pre-eclampsia
Term
HTN, proteinuria & edema
and seizures
Definition
eclampsia
Term
ecl/preecl
Definition
7% of preggers fr 20 wks to +6wks
up inc w. preexist HTN, DM, chr renal dz, autoimmuine
etio invs placenta ischemia
assocd w. hellp (hemolysis, elevd LFTs, low pltlts)
Term
preecl ssx
Definition
HA, blurred vision, abd pain, edema of face & extrems, alt MS, hyperrefl, dn pltlts, hyperuricemia
Term
preecl tx
Definition
deliver fetus as soon as viable
bed rest, salt restrn, monitor & tx HTN
Term
ecl tx
Definition
med emerg, IV MgSO4 and diazepam
Term
7% of preggers fr 20 wks to +6wks
up inc w. preexist HTN, DM, chr renal dz, autoimmuine
etio invs placenta ischemia
assocd w. hellp (hemolysis, elevd LFTs, low pltlts)
Definition
ecl/preecl
Term
HA, blurred vision, abd pain, edema of face & extrems, alt MS, hyperrefl, dn pltlts, hyperuricemia
Definition
preecl ssx
Term
deliver fetus as soon as viable
bed rest, salt restrn, monitor & tx HTN
Definition
preecl tx
Term
med emerg, IV MgSO4 and diazepam
Definition
ecl tx
Term
abruptio placenta
Definition
prem separation of placenta
painful uterine bleed (us 3rd trim)
fetal death
assocd w. DIC
up risk w. smok, htn, coke
Term
prem separation of placenta
painful uterine bleed (us 3rd trim)
fetal death
assocd w. DIC
up risk w. smok, htn, coke
Definition
abruptio placenta
Term
placenta accreta
Definition
def decidual layer allows placenta to attach directly to myometrium
RFs: prior C-section or inflammo
may lead to massive hem at delivery
Term
def decidual layer allows placenta to attach directly to myometrium
RFs: prior C-section or inflammo
may lead to massive hem at delivery
Definition
placenta accreta
Term
placenta previa
Definition
attachment of placenta to lwr uterine segment
may occlude os
painless bleeding at any trim
Term
attachment of placenta to lwr uterine segment
may occlude os
painless bleeding at any trim
Definition
placenta previa
Term
ectopic preggers
Definition
us fallopian tubes
RFs: PID
up hCG and sudden lwr abd pain, confirm w. U/S
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