CSbreastdisorders

Etiology: assc. w/ hyperestrinism & endometrial hyperplasia; most common cause of ovarian enlagement; mentstrual years

Pathology: bilateral; unruptured Graafian follicle; lined by granulosa cells

Symptoms: vague pelvic pain not assc with menstruation or asympotomatic

Treatment: 2-months of oral contraceptives

Etiology: during menstral years

Pathology: unilateral, cyst contains clear fluid, yellowish luteal cells w/ lipid droplets

Symptoms: delayed menstruation

Treatment: cyst removal or oophorectomy

Etiology: assc. w/ choriocarcinoma, hydatidiform moles, synthetic gonadotropin therapy

Pathology: multiple and bilateral cysts lined with luteinized theca cells

Symptoms: amenorrhea, lab findings show elevated hCG due to trophoblastic proliferation

Treatment: cyst removal or oophorectomy

Etiology: Chlamydia trachomatis (subacute), Neisseria gonorrhoeae (acute)

Pathology: Edematous tubal serosa (puss/water builsup in fallopian tubes)

Symptoms: fever, abdominal pain, cervical motion tenderness (chandelier sign)

Treatment: antibiotics

Etiology: assc. w/ HPV, early first intercourse, multiple partners

Pathology: cervical dysplasia --> CIS --> ICC: squamous cell carcinoma w/ keratinization, koilocytosis possible

Symptoms: vaginal bleeding, postcoital spotting

Treatment: hysterectomy, radiation, prevention w/ HPV vaccine

Etiology: ~60 yrs old, risks incl. estrogen use, obesity, late menopause

Pathology: proceded by endometrial hyperplasia, adenocarcinoma

Symptoms: postmenopausal vaginal bleeding (pus and abdominal pain possible)

Etiology: unknown, affects 10% of women ages 20-30

Pathology: endometrial tissue outside of uterus, chocolate cysts

Symptoms: fixed, palpable ovarian masses, dysmenorrhea (pain during menses), dyspareunia (pain during intercouse)

Treatment: oral contraceptives, surgical removal may be necessary

• Etiology (acute): trauma, staph, stept; usually occurs after delivery or miscarriage
• Etiology (chronic): granulomatous diseases, PID

Pathology: plasma cells with macrophages and lymphocytes

• Acute symptoms: imflammation after delivery
• Chronic symptoms: abnormal vaginal bleeding

Treatment: antibiotics

Etiology: family history, nulliparity, most common in children and young adults

Symptoms: abdominal discomfort

Treatment: surgical removal

Symtoms: amenorrhea, obesity, hirsutism, insulin resistance, Lab Findings show incread LH and increased testosterone

Treatment: weight loss, metformin for insulin resistance, gonadotropin analogs, clomiphene for ovulaton induction

Etiology: hormonal imbalances, 25-50 years old

Symptoms: diffuse breast pain, multiple palpable lesions, no changes in skin or nipple

Treatment: symptom management