Cervical Dysplasia

Cervical dysplasia and cervical cancer lie on a continuum of conditions. Cervical dysplasia can take one of three paths 2. Remain the same and not progress RISK FACTORS FOR CERVICAL DYSPLASIA AND CERVICAL CANCER Human papillomavirus (HPV) infection 80 of cases Risk highest if infected > 6 months Types 16, 18, 31, 33, high oncogenic potential High sexual activity (increase risk of viral bacterial infections) Multiple sexual partners Intercourse at early age ( 17 years) Cigarette smoking...

Endometriosis

Endometriosis is the condition in which endometrial tissue is found outside of the uterus, often causing pain and or infertility. Five to 10 of women in reproductive age The ectopic endometrial tissue is functional. It responds to hormones and goes through cyclic changes, such as menstrual bleeding. The result of this ectopic tissue is ectopic menses, which causes peritoneal inflammation, pain, fibrosis, and, eventually, adhesions. Tissue in endometriosis is viable and behaves normally. Exam...

Chronic Hypertension HTN and Pregnancy

Defined as hypertension that antecedes pregnancy Mild Systolic > 140 mm Hg and or diastolic > 90 mm Hg Severe Systolic > 160 mm Hg and or diastolic > 110 mm Hg If during pregnancy a chronic hypertensive patient's systolic blood pressure (BP) rises by 30 mm Hg or diastolic rises by 15 mm Hg, it is pregnancy-induced hypertension superimposed on chronic hypertension. Diagnose HTN BP > 140 90 at rest, measured at least twice, and > 6 hours apart. (sustained T in BP) Diagnose HTN BP >...

Follicular Cysts

Follicular cysts are the most common functional ovarian cysts. Failure of rupture or incomplete resorption of the ovarian follicle results in a cyst. Just like the original follicle, the ovarian cyst is granulosa cell lined and contains a clear to yellow estrogen-rich fluid. Acute pelvic pain usually signifies rupture Physical exam pelvic and abdominal exam Sonography if necessary to confirm diagnosis No treatment may be necessary, since most cysts resolve spontaneously within 2 months. Oral...

Presentation

There are numerous serotypes of chlamydia generally speaking. Serotypes A-K cause more localized GU manifestations and the L serotypes a systemic disease lymphogranuloma venereum . Serotypes A-K of Chlamydia trachomatis can have the following presentation Trachoma conjunctivitis resulting in eyelash hypercurvature and eventual blindness from corneal abrasions Serotypes L1-L3 of Chlamydia trachomatis cause lymphogranuloma venereum. This is a systemic disease that can present in several forms...

Lutein Cysts

There are two types of lutein cysts Corpus luteum cysts and theca lutein cysts. The corpus luteum cyst is an enlarged and longer living, but otherwise normal, corpus luteum. It can produce progesterone for weeks longer than normal. Signs symptoms Unilateral tenderness amenorrhea Diagnosis History and physical pelvic exam once ectopic pregnancy has been ruled out , sonogram Treatment only if symptomatic Analgesics, oral contraceptives, laparot-omy scopy if ruptured Corpus hemorragicum is formed...

Terminology

G gravidity 3 total number of pregnancies, including normal and abnormal intrauterine pregnancies, abortions, ectopic pregnancies, and hy-datidiform moles Remember, if patient was pregnant with twins, Q 1. P parity 3 number of deliveries gt 500 grams or gt 24 weeks' gestation, stillborn dead or alive Remember, if patient was pregnant with twins, P 1. Ab abortion 0 number of pregnancies that terminate lt 24th gesta-tional week or in which the fetus weighs lt 500 grams LC living children 3 number...