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  1. Follicular cyst
    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
  2. Corpus luteum cyst
    Etiology: during menstral years

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

    Symptoms: delayed menstruation

    Treatment: cyst removal or oophorectomy
  3. Theca-lutein cyst
    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
  4. Pelvic Inflammatory Disease
    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
  5. Dysplasia, Carcinoma in Situ, & Invasive Cervical Carcinoma
    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
  6. Endometrial Carcinoma
    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)
  7. Endometriosis
    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
  8. Endometritis
    • 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
  9. Ovarian Tumors of Germ Cell Origin
    Etiology: family history, nulliparity, most common in children and young adults

    Symptoms: abdominal discomfort

    Treatment: surgical removal
  10. Polycystic Ovarian Syndrome (Stein-Leventhal Syndrome)
    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
  11. Fibrocystic Disease of the Breast
    Etiology: hormonal imbalances, 25-50 years old

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

    Treatment: symptom management
Card Set:
2012-04-17 08:44:30

endo cs
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