Condyloma accuminata (HPV 6/11)
- small macpap growthss that cluster
- clusters of soft, pink, skin colored lesions
Location of
(a) vestible
(b) Bartholin glands
(a) Vestible = area btwn the labia minora
(b) Bartholin glands- open at 4 and 8 oclock of the vaginal orifice
Differentiate simple vs. complex endometrial hyperplasia
In simple hyperplasia both the glands and the stroma are proliferating
-Comlpex: the glands proliferate much more => increased gland:stroma ratio
34 yo w/ vulvar lesions x6 weeks
Multiple small, papular growths at the vestible of the vulva and over the labia major
-few lesiosn are fragile and bleed on manipulation
Dx
Condylomata acuminata (genital warts from HPV 6 and 11)
Location where an ectopic pregnancy would last the longest
Cornual/interestitial = part of the fallopian tube that is directly attached to the cervix and is even surrounded by myometrium
=> has the support/strength of the myometrium to allow for expansion
Molluscum contagiosum
- caused by poxvirus
- pearly (smooth, firm) painless nodules w/ central dimple or pit
What is a hysterosalpingogram
Inject die into uterine cavity to assess shape of the cavity and patency of the fallopian tubes
- involved in the workup for infertility (not pelvic pain- use US for pelvic pain)
- if don’t get spillage then tube is blocked
‘Pearl necklace’ ultrasound appearance of PCO (polycystic ovary)
-follicle develops but never ovulates
Maneuvers to delivery baby w/ shoulder dystocia
Shoulder dystocia = anterior shoulder stuck under mother’s pubic symphysis
- apply suprapubic pressure
- McRobert’s maneuver- hyperflex mother’s hips to open up the maternal pelvis
Lichen sclerosis- pruritic, white, thin, wrinkled skin over the labia
-perianal thickening w/ fissures
Unknown etiology: genetic, autoimmune, hormonal
Differentiate the shape btwn early, late, and variable decels
Early and late are rather uniform
Early: gradual onset and offset
Late: nadir right after peak of contraction, recovers after contraction is over
Variable: very acute onset (onset to nadir under 30 sec), not timed w/ contractions, rapid onset and offset
Lichen planus- pruritic, glassy, bright red erosions and ulcerations
- cause unknown, thought to be immune (bummer)
- not contagious
Differentiate condyloma accuminata vs. condyloma lata
Condyloma accuminata = genital warts from HSV 6/11
-macpap warts in clusters of soft, pink, skin colored lesions
Condyloma lata = secondary syphilis
-flat, velvety lesions w/ a broader/flatter surface
Most common location of ectopic pregnancies
95+% in the fallopian tubes
-majority of which are in the ampulla
Causes of the 3 types of decels
Early- head compression
Late- uteroplacental insufficiency
Variables- cord compression
What kind of twins?
Dichoronic diamniotic- give away is the lambda sign
