Michael Shared "Repro!" - 120 Picmonics
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Repro!
Intraductal Papilloma
- Presentation
- Bloody nipple discharge
- Women 20-40 years old
- Mechanism
- Small tumor in lactiferous ducts
- Occurs Centrally
- Occurs Peripherally
- Increased malignancy
- Diagnosis
- Too Small to Palpate
- Galactogram biopsy
1 min
Yolk Sac Tumor
- Germ-cell tumor
- AFP
- Aggressive Malignancy
- Yellow, Friable Solid
- Schiller-Duval Bodies
43 secs
Kallman Syndrome
- Mutation in KAL-1 or FGFR-1 Gene
- Failure of GnRH Secreting Neurons
- Delayed Puberty
- Anosmia
- Hypogonadism
- Infertility
2 mins
5 Alpha Reductase Deficiency
- Autosomal Recessive
- Inability to Convert Testosterone to DHT
- Normal Internal Genitalia
- Ambiguous External Genitalia until Puberty
- Masculinization During Puberty with Growth of External Genitalia
- LH can be Increased
- Normal Estrogen, LH, and Testosterone levels
2 mins
Klinefelter's Syndrome
- Pathophysiology
- Male (XXY)
- Signs and Symptoms
- Eunuchoid Body Shape
- Gynecomastia and Female Hair Distribution
- Testicular Atrophy
- Dysgenesis of Seminiferous Tubules
- Possible Developmental Delay
- Hypogonadism
- Decreased Inhibin B
- Increased FSH
- Abnormal Leydig Cell Function
- Decreased Testosterone
- Increased LH
- Increased Estrogen
- Barr body (inactivated X chromosome)
6 mins
Branchial Pouches: 1st Pouch
- Endoderm Lines the Auditory Tube
- Middle Ear Cavity
- Eustachian Tube
- Mastoid Air Cells
1 min
Krukenberg Tumor
- Non-germ Cell Tumor
- Lymphatic Spread to Ovaries
- Metastasis
- GI Malignancy
- Mucin-secreting Signet Cell
34 secs
Branchial Pouches: 3rd Pouch
- Separates into Dorsal and Ventral Wings
- Dorsal Wings
- Inferior Parathyroid Glands
- Ventral Wings
- Thymus
1 min
Menopause Lab Findings
- Decreased Estrogen
- Lack of Negative Feedback
- Increased FSH
- Increased LH
- Increased GnRH
- Small Amount of Estrogen From Androgen Conversion
- Increased Androgens = Hirsutism
1 min
Brenner Tumor
- Pathophysiology
- Non-germ cell tumor
- Transitional epithelium
- Benign and unilateral
- Coffee bean nuclei
2 mins
Menopause Symptoms
- Symptoms
- HAVOCS Mnemonic
- Hot Flashes
- Atrophy of Vagina
- Osteoporosis
- Coronary Artery Disease (CAD)
- Sleep disturbances
50 secs
Ovarian Cystadenocarcinoma
- Non-germ Cell Tumor
- Mucinous
- Peritoneal Spread
- Serous
- Psammoma Bodies
- Bilateral
- Malignant
- Stromal Invasion
- CA 125
- BRCA-1 and Lynch Syndrome
1 min
Ovulatory Hormones I - Follicular Phase
- Characteristics
- 0-14 Days
- GnRH Stimulates FSH and LH
- Follicle Secretes Estrogen
- Negative Feedback from Estrogen
- Increased Estrogen Leads to Positive Feedback
- FSH and LH Surge
- LH Spike Leads to Ovulation
2 mins
Dysgerminoma
- Germ-cell tumor
- Most Common Malignant Germ Cell Tumor
- Uniform Cells
- Fried Egg Cells
- hCG
- LDH
- Seminoma-like
- Turner Syndrome
2 mins
Ovulatory Hormones II - Luteal Phase
- Days 15-28
- Corpus Luteum
- Secretes Progesterone
- Negative Feedback inhibits FSH and LH
- No pregnancy forms Corpus Albicans
- Stops Estrogen Secretion
- Endometrial Sloughing - Menses
- GnRH secretion produces new follicular phase
2 mins
Endometriosis Symptoms and Treatment
- Symptoms
- Dysmenorrhea
- Cyclic Pelvic Pain
- Dyschezia
- Dysuria
- Dyspareunia
- 30-40% are Infertile
- Treatment
- Surgery
- NSAIDs
- OCPs
- Progesterone (Progestins)
- GnRH Agonists
1 min
Pelvic Inflammatory Disease (PID)
- Mechanism
- Neisseria gonorrhoeae
- Chlamydia Trachomatis
- Symptoms
- Cervical Motion Tenderness
- Chandelier Sign
- Salpingitis
- Tubo-ovarian abscess
- Hydrosalpinx
- Complications
- Ectopic Pregnancy
- Infertility
- Adhesions
- Fitz-Hugh-Curtis Syndrome
2 mins
Fibromas
- Non-germ cell tumor
- Meigs Syndrome
- Thecoma
- Pulling sensation in groin
- Spindle-shaped fibroblasts
44 secs
Phyllodes Tumor
- Presentation
- Common in 40's
- Large Palpable Mass
- Mechanism
- Benign
- Rarely Malignant
- Low-Grade Tumor
- Leaf-Like
- Stromal Tumor
- Treatment
- Wide Resection
2 mins
Androgen Insensitivity (Complete)
- Defect in Androgen Receptor
- Phenotypically Female
- (46, XY)
- Female External Genitalia
- Rudimentary Vagina
- Scant Sexual Hair
- Testes Often in Labia Majora
- Testes Surgically Removed to Prevent Malignancy
- Increased Estrogen, Testosterone, and LH
- Absent Uterus and Fallopian Tubes
3 mins
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