Exam 6 Review

Total Page:16

File Type:pdf, Size:1020Kb

Exam 6 Review 11/7/2012 Word Parts: Female gynecology‐ study of diseases of the female reproductive system cervic/o cervix vagin/o, colp/o vagina Exam 6 Review gynec/o female uter/o, hyster/o uterus Chapters 11 and 12 metr/o, metr/i uterine tissue or measurement ovar/o, oophor/o ovary salping/o uterine tube (fallopian tube) vulv/o vulva (external genitalia) Slide 6 Reproductive System Reproductive System ‐cidal killing gonads: cyst/o, vesic/o bladder, cyst, or sac • ovaries(female)‐produce eggs (ova) genit/o genitals • testes(male)‐ produce sperm(spermatozoa) gonad/o genitals or reproduction men/o month • Reproductive organs, whether male or female, or internal or external, are called the genitals ‐plasia development or formation or genitalia. rect/o rectum urethr/o urethra urin/o urine Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 5 Slide 4 1 11/7/2012 External Structures (Fig 11‐1 pg 263) Layers of Uterine Tissue External genitalia are called vulva, which include: endometrium‐innermost layer • mons pubis myometrium‐ middle layer of thick muscular tissue • labia majora‐larger skin fold protecting the vaginal perimetrium‐ membrane that surrounds the uterus opening • labia minora –smaller skin fold protecting the (endo‐)=inside vaginal opening (my/o)= muscle • clitoris (peri‐) = around • opening for glands (metr/o)= uterine tissue, or measurement (‐ium)=membrane Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc.Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Fig. 11‐3 Obtaining a cervical Pap smear by using a vaginal speculum‐an instrument that can be pushed apart after it is inserted into Fig. 11‐4 Colposcopy. The vagina and the vagina to allow examination of the cervix cervix are examined with a colposcope. and the walls of the vagina. The instrument used is the colposcope. Slide 11 Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 13 2 11/7/2012 Fig. 11‐6 Hysteroscopy. The process of Fig. 11‐7 Hysterosalpingogram. x‐ray visually examining the uterine cavity image of the uterus and uterine tubes. Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 15 Slide 16 Diseases and Disorders Menstrual Irregularities (see exercise 7 pg 270) colpitis (colp/o, vagina, + ‐itis,inflammation): inflammation of the vagina; same as vaginitis. • amenorrhea (a‐, without, + men/o, month, + ‐rrhea, cervicocolpitis: inflammation of the vagina and cervix. discharge): absence of menstruation endometriosis a condition where tissure resembling • dysmenorrhea (dys‐, difficult): painful or difficult the endometrium is found abnormally in various menstruation. locations in the pelvic cavity. • menorrhagia (‐rrhagia, hemorrhage): abnormally endo‐ = inside, metr/i=uterine tissue, ‐osis= condition heavy flow or long menstruation. endometritis: inflammation of the endometrium • metrorrhagia (metr/o, uterine tissue): uterine bleeding other than menstruation. *****be careful of spellings Slide 18 Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 17 3 11/7/2012 Diseases and Disorders, cont. Surgical and Therapeutic Interventions pelvic inflammatory disease (PID)‐ infection that • contraception, contraceptive‐ any device, occurs when bacteria move from the vagina or process, or method that prevents cervix into the uterus, fallopian tubes, ovaries, or pelvis. It is commonly caused from STD’s. conception (pregnancy premenstrual syndrome (PMS) –symptoms such as nervous tension, edema, headache, painful breasts, • spermicide ‐kills sperm sleep changes occuring a few days before the onset of menstuation vulvitis – inflammation of the vulva • in vitro fertilization (IVF) ‐a method of fertilizing the ova outside the body Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 22 Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 26 Reproductive System Obstetric Word Parts amni/o amnio • dilation and curettage (D&C) a surgical procedure that expands the cervical (the innermost fetal membrane) opening (dilation or dilatation) so that fet/o fetus the uterine wall can be scraped (fetal=pertaining to the fetus) (curettage). nat/i birth • human chorionic gonadotropin (HCG) ‐ Testing for this hormone in urine or blood can indicate whether a woman is pregnant. Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 31 4 11/7/2012 Pregnancy and Childbirth, cont. Pregnancy ‐para a woman who has given birth Gestation=another name for pregnancy Gravida pregnant woman para I, II, etc. # pregnancies resulting in live births prefix + ‐gravida # pregnancies unipara (uni‐, one) primigravida , gravida I = a woman who is pregnant secundipara (secundus is latin for second) for the first time (primi‐, first) tripara (tri‐, three) gravida II nullipara a woman who has never given birth gravida III, etc. to a viable offspring (nulli‐, none) ****gravida refers only to pregnancy, whereas para designates successful pregnancies resulting in live births. A woman could be gravida III but para 0 (same as nullipara). Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 36 Slide 35 Fig. 11‐13 Fetal presentation. A, Cephalic presentation, the normal presentation of childbirth and the most common (cephal/o=head) Fig. 11‐9 Sites of vaginal fistulas. B, Breech presentation. the buttocks, knees, or feet are fistula: an abnormal, tubelike passage presented C, Shoulder presentation. shoulder is presented at the between two internal organs, or between an cervical opening. (also called transverse presentation) internal organ and the body surface. Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 37 Slide 20 5 11/7/2012 Reproductive System Breast Terms ectopic pregnancy ‐ Abnormal mast/o, mamm/o= breast implantation of a fertilized ovum mastalgia, mastodynia, mammalgia: painful breast. outside the uterus • ‐algia & ‐dynia = pain mastitis :inflammation of the breast (‐itis=inflammation) mastoptosis : sagging breast (‐ptosis=sagging, prolapse) amniotomy(‐tomy, incision): surgical mastopexy : surgical procedure to lift breast rupture of the fetal membranes, (‐pexy=surgical fixation) performed to induce or expedite mammoplasty :plastic surgery of the breast labor. (‐plasty=surgical repair) Slide 38 Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 44 Word Parts: Male Reproductive System Reproductive System • orchi/o, orchid/o testes cryptorchidism: undescended testicle. • test/o, testicul/o testes • pen/o penis • (crypt/o, hidden, + orchid/o, testis, + ‐ • prostat/o prostate ism, condition) • scrot/o scrotum, bag vasectomy, a small incision is made in the • semin/o semen scrotum, and a piece of the vas deferens • spermat/o sperm is removed. • ‐cidal killing • vas/o vessel or duct Kaposi sarcoma. ‐ a malignant neoplasm (or ductus deferens) that usually occurs in people with AIDS Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 47 Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 52 6 11/7/2012 Integumentary System Word Parts: Accessory Structures • seb/o sebum integument‐ another name for skin • pil/o, trich/o hair nails‐ ungual=pertaining to the nail (pilomotor muscles cause “goose bumps”) composed of keratin (kerat/o=horny tissue) • axill/o axilla (armpit) sudoriferous glands‐ (sweat glands)‐ regulate body temp and eliminate waste in form of sweat • follicul/o follicle sebaceous glands – found in all areas of the body that • kerat/o horny (or cornea) have hair. They produce sebum, an oily substance that inhibits growth of bacteria and lubricates the skin • onych/o, ungu/o nail . Slide 5 . Word Parts Word Parts, cont. ichthy/o fish seps/o infection • ichthyosis= skin condition where skin is dry and • sepsis= infection or contamination scaly, resembling fish skin • asepsis=absence of infection/germs xer/o dry sept/o infection or septum • xerosis= skin condition with excessive dryness • septic=infected wound • aseptic conditions=free of pathogenic organisms cutane/o, derm/o, skin • a‐ = no, not, without derm/a, dermat/o Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 7 Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 8 7 11/7/2012 Word Parts, cont. Layers of the Skin bacter/i, bacteri/o bacteria • epidermis –the outermost layer ‐cidal killing •dermisis the thick inner layer of the ‐static keeping stationary skin. bacteriostatic =inhibiting the growth of bacteria • subcutaneous adipose tissue ‐under the bactericidal = killing bacteria dermis Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc.Copyright © 2011, 2007, 2003 by Saunders, an iif El i I Skin Lesions • cyst‐ filled with fluid • nodule‐ filled with solid (marble‐like) • macules‐ small, nonraised (freckles) • papules‐ raised (moles) Fig. 12‐3 Differentiation of two types of lesions (seen here in cross‐section). pustules‐ a type of blister filled with cloudy fluid or pus Although both cause a raised area of overlying skin, the cyst Copyright © 2011, 2007, 2003 contains fluid, whereas the nodule is a solid structure. by Saunders, an imprint of Elsevier Inc.Copyright © 2011, Copyright © 2011, 2007, 2003 by Saunders, an imprint of Elsevier Inc. Slide 9 2007, 2003 by Saunders, an iif El i I 8 11/7/2012 • Matching definitions. See page 309 exercise 8. Fig. 12‐5 Wheals. This elevated, irregularly shaped lesion is seen in an allergic skin eruption. Copyright © 2011, 2007,
Recommended publications
  • The Leucoplakic Vulva: Premalignant Determinants C
    Henry Ford Hospital Medical Journal Volume 11 | Number 3 Article 3 9-1963 The Leucoplakic Vulva: Premalignant Determinants C. Paul Hodgkinson Roy B. P. Patton M. A. Ayers Follow this and additional works at: https://scholarlycommons.henryford.com/hfhmedjournal Part of the Life Sciences Commons, Medical Specialties Commons, and the Public Health Commons Recommended Citation Hodgkinson, C. Paul; Patton, Roy B. P.; and Ayers, M. A. (1963) "The Leucoplakic Vulva: Premalignant Determinants," Henry Ford Hospital Medical Bulletin : Vol. 11 : No. 3 , 279-287. Available at: https://scholarlycommons.henryford.com/hfhmedjournal/vol11/iss3/3 This Article is brought to you for free and open access by Henry Ford Health System Scholarly Commons. It has been accepted for inclusion in Henry Ford Hospital Medical Journal by an authorized editor of Henry Ford Health System Scholarly Commons. For more information, please contact [email protected]. Henry Ford Hosp. Med. Bull. Vol. 11, September, 1963 THE LEUCOPLAKIC VULVA Premalignant Determinants C. PAUL HODGKINSON, M.D.,* ROY B. P. PATTON, M.D., AND M. A. AYERS, M.D.* IN A PAPER proposing to discuss the leucoplakic vulva and any predisposing ten­ dency it may have to the development of squamous cell carcinoma, the term "pre­ malignant" has presumptuous connotations. This is presumptuous because it implies that more is known about cancer and its mode of development than can be supported by facts. What happens in the cell prior to the stage of carcinoma-in-situ is a burning and unsolved question in cancer research. How to detect and appraise the parameters of malignant potential is the essence of meaning connoted by the word "premalignant".
    [Show full text]
  • A Case of Non-Communicating Uterine Horn Containing Functional Endometrium
    logy & Ob o st ec e tr n i y c s G Rani et al., Gynecol Obstet (Sunnyvale) 2015, 5:9 Gynecology & Obstetrics DOI: 10.4172/2161-0932.1000320 ISSN: 2161-0932 Case Report Open Access A Case of Non-Communicating Uterine Horn Containing Functional Endometrium Anjali Rani*, Madhu Kumari and Shipra Department of Obstetrics and Gynaecology, Institute Of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India Abstract Uterine anoamalies are very rare. They can present with complains of amebnorrhoea, dysmenorrhoea, bad obstetrical outcome and infertility etc. Unicornuate uterus with rudimentary horn is very rare. The incidence of this is 1/100,000. Normally rudimentary horns are non- functional and non-communicating. But if they have functional endometrium they can develop hematometra. We are presenting a case of hematometra and pain in a patient with rudimentary non communicating horn with functional endometrium. Rudimentary horn should be kept as a differential diagnosis in pelvic pain. Keywords: Unicornuate uterus; Rudimentary horn; Dysmenorrhea were found in the pelvis. Exploratory laparotomy was decided and the rudimentary horn was excised by applying clamps (Figure 2). Histo- Introduction pathological examination of the specimen was reported as uterine Uterine anomalies are very rarely seen. Unicornuate uterus is a very udimentary horn with functional endometrium with haematometra. rare uterine anomaly. The incidence of congenital uterine anomalies The patient was discharged on the fifth postoperative day. She came in in fertile population is 1/200 to 1/600. The incidence of rudimentary follow up her nomal menses after 6 weeks. horn is very very rare (1:100,000).
    [Show full text]
  • Vaginitis and Abnormal Vaginal Bleeding
    UCSF Family Medicine Board Review 2013 Vaginitis and Abnormal • There are no relevant financial relationships with any commercial Vaginal Bleeding interests to disclose Michael Policar, MD, MPH Professor of Ob, Gyn, and Repro Sciences UCSF School of Medicine [email protected] Vulvovaginal Symptoms: CDC 2010: Trichomoniasis Differential Diagnosis Screening and Testing Category Condition • Screening indications – Infections Vaginal trichomoniasis (VT) HIV positive women: annually – Bacterial vaginosis (BV) Consider if “at risk”: new/multiple sex partners, history of STI, inconsistent condom use, sex work, IDU Vulvovaginal candidiasis (VVC) • Newer assays Skin Conditions Fungal vulvitis (candida, tinea) – Rapid antigen test: sensitivity, specificity vs. wet mount Contact dermatitis (irritant, allergic) – Aptima TMA T. vaginalis Analyte Specific Reagent (ASR) Vulvar dermatoses (LS, LP, LSC) • Other testing situations – Vulvar intraepithelial neoplasia (VIN) Suspect trich but NaCl slide neg culture or newer assays – Psychogenic Physiologic, psychogenic Pap with trich confirm if low risk • Consider retesting 3 months after treatment Trichomoniasis: Laboratory Tests CDC 2010: Vaginal Trichomoniasis Treatment Test Sensitivity Specificity Cost Comment Aptima TMA +4 (98%) +3 (98%) $$$ NAAT (like GC/Ct) • Recommended regimen Culture +3 (83%) +4 (100%) $$$ Not in most labs – Metronidazole 2 grams PO single dose Point of care – Tinidazole 2 grams PO single dose •Affirm VP III +3 +4 $$$ DNA probe • Alternative regimen (preferred for HIV infected
    [Show full text]
  • Localised Provoked Vestibulodynia (Vulvodynia): Assessment and Management
    FOCUS Localised provoked vestibulodynia (vulvodynia): assessment and management Helen Henzell, Karen Berzins Background hronic vulvar pain (pain lasting more than 3–6 months, but often years) is common. It is estimated to affect 4–8% of Vulvodynia is a chronic vulvar pain condition. Localised C women at any one time and 10–20% in their lifetime.1–3 provoked vestibulodynia (LPV) is the most common subset Little attention has been paid to the teaching of this condition of vulvodynia, the hallmark symptom being pain on vaginal so medical practitioners may not recognise the symptoms, and penetration. Young women are predominantly affected. LPV diagnosis is often delayed.2 Community awareness is low, but is a hidden condition that often results in distress and shame, increasing with media attention. Women can be confused by the is frequently unrecognised, and women usually see a number symptoms and not know how to discuss vulvar pain. The onus is of health professionals before being diagnosed, which adds to on medical practitioners to enquire about vulvar pain, particularly their distress and confusion. pain with sex, when taking a sexual or reproductive health history. Objective Vulvodynia The aim of this article is to inform health providers about the Vulvodynia is defined by the International Society for the Study assessment and management of LPV. of Vulvovaginal Disease (ISSVD) as ‘chronic vulvar discomfort, most often described as burning pain, occurring in the absence Discussion of relevant findings or a specific, clinically identifiable, neurologic 4 Diagnosis is based on history. Examination is used to support disorder’. It is diagnosed when other causes of vulvar pain have the diagnosis.
    [Show full text]
  • The Reproductive System
    27 The Reproductive System PowerPoint® Lecture Presentations prepared by Steven Bassett Southeast Community College Lincoln, Nebraska © 2012 Pearson Education, Inc. Introduction • The reproductive system is designed to perpetuate the species • The male produces gametes called sperm cells • The female produces gametes called ova • The joining of a sperm cell and an ovum is fertilization • Fertilization results in the formation of a zygote © 2012 Pearson Education, Inc. Anatomy of the Male Reproductive System • Overview of the Male Reproductive System • Testis • Epididymis • Ductus deferens • Ejaculatory duct • Spongy urethra (penile urethra) • Seminal gland • Prostate gland • Bulbo-urethral gland © 2012 Pearson Education, Inc. Figure 27.1 The Male Reproductive System, Part I Pubic symphysis Ureter Urinary bladder Prostatic urethra Seminal gland Membranous urethra Rectum Corpus cavernosum Prostate gland Corpus spongiosum Spongy urethra Ejaculatory duct Ductus deferens Penis Bulbo-urethral gland Epididymis Anus Testis External urethral orifice Scrotum Sigmoid colon (cut) Rectum Internal urethral orifice Rectus abdominis Prostatic urethra Urinary bladder Prostate gland Pubic symphysis Bristle within ejaculatory duct Membranous urethra Penis Spongy urethra Spongy urethra within corpus spongiosum Bulbospongiosus muscle Corpus cavernosum Ductus deferens Epididymis Scrotum Testis © 2012 Pearson Education, Inc. Anatomy of the Male Reproductive System • The Testes • Testes hang inside a pouch called the scrotum, which is on the outside of the body
    [Show full text]
  • Effect of Educational Program on Vulvitis Prevention Among Nursing Students
    American Journal of Nursing Science 2018; 7(6): 254-267 http://www.sciencepublishinggroup.com/j/ajns doi: 10.11648/j.ajns.20180706.19 ISSN: 2328-5745 (Print); ISSN: 2328-5753 (Online) Effect of Educational Program on Vulvitis Prevention Among Nursing Students Somaya Ouda Abd EL-Menim 1, Huda Abdalla Moursi 2, Ahlam Elahmady Mohamed Sarhan 2 1Obstetric and Woman Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt 2Community Health Nursing, Benha University, Benha, Egypt Email address: To cite this article: Somaya Ouda Abd EL-Menim, Huda Abdalla Moursi, Ahlam Elahmady Mohamed Sarhan. Effect of Educational Program on Vulvitis Prevention among Nursing Students. American Journal of Nursing Science . Vol. 7, No. 6, 2018, pp. 254-267. doi: 10.11648/j.ajns.20180706.19 Received : November 7, 2018; Accepted : November 23, 2018; Published : January 2, 2019 Abstract: The aim of this study was to evaluate the effect of educational program on vulvitis prevention among nursing students Research design: A quasi-experimental design was utilized. Setting: This study was conducted at Faculty of Nursing, Benha University. Sample: convenient sample included two hundred and fifty nursing students female all enrolled in first academic years. Tools of data collection1) a structured interviewing sheet to collect data about socio-demographic characteristics, menstrual and gynecological history and knowledge of nursing students regarding vulvitis 2) reported practices assessment 3) modified likert scale for students' attitude regarding vulvitis. Results: there were general improvements regarding students' knowledge, attitude and practice regarding prevention of vulvitis with highly significant (P ≤ 0.001) difference after educational Program. The mother was the main sources of knowledge to students (60%).
    [Show full text]
  • Female Genital Tuberculosis: a Clinicopathological Study
    International Journal of Reproduction, Contraception, Obstetrics and Gynecology Desai RM et al. Int J Reprod Contracept Obstet Gynecol. 2016 Aug;5(8):2780-2783 www.ijrcog.org pISSN 2320-1770 | eISSN 2320-1789 DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20162665 Research Article Female genital tuberculosis: a clinicopathological study Rathnamala M. Desai*, Sunil Kumar, Usha Brindini Department of Obstetrics and Gynaecology, Sri Dharmasthala Manjunatheshwara College of Medical Sciences and Hospital, Dharwad, Karnataka, India Received: 21 June 2016 Accepted: 09 July 2016 *Correspondence: Dr. Rathnamala M. Desai, E-mail: [email protected] Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Background: The aim of this study was to describe the various clinical presentations of female genital tuberculosis and study the different methods of diagnosis and treatment. Methods: A study of all cases of female genital tuberculosis diagnosed in the last five years was done. Results: Female genital tuberculosis was diagnosed in 25 cases over a period of five years. Majority of the women (60%) were in the younger age group. Most of the women (60%) presented with infertility. Twelve (48%) women had primary infertility and 3 (12%) had secondary infertility. Nine (36%) women had secondary amenorrhea. Five (20%) women complained of abdominal pain. Thirteen (52%) women who underwent diagnostic hysterolaparoscopy as a part of evaluation for infertility were diagnosed to have genital tuberculosis.
    [Show full text]
  • Normal Imaging Findings of the Uterus 3
    Normal Image Findings of the Uterus 37 Normal Imaging Findings of the Uterus 3 Claudia Klüner and Bernd Hamm CONTENTS the strong muscle coat forming the mass of the organ. The myometrium is mostly comprised of spindle- 3.1 Embryonic Development and shaped smooth muscle cells and additionally con- Normal Anatomy of the Uterus 37 tains reserve connective tissue cells, which give rise 3.2 Imaging Findings: Uterine Corpus 40 to additional myometrial cells in pregnancy through 3.3 Imaging Findings: Uterine Cervix 44 hyperplasia. The uterine cavity is only a thin cleft and References 47 is lined by endometrium (Fig. 3.2). Functionally, the endometrium consists of basal and functional layers. The isthmus of uterus (lower uterine segment), 3.1 together with the internal os, forms the junction be- Embryonic Development and tween the corpus and cervix. In nonpregnant wom- Normal Anatomy of the Uterus en the isthmus is only about 5 mm high and is less muscular than the corpus. Unlike the uterine cervix, During embryonal life, fusion of the two Müllerian the isthmus becomes overproportionally large in the ducts gives rise to the uterine corpus, isthmus, cervix, course of pregnancy and serves as a kind of reserve and the upper third of the vagina. The Müllerian ducts for fetal development in addition to the uterine cor- are of mesodermal origin and arise in the 4th week pus. The endometrium of the isthmus consists of a of gestation. They course on both sides lateral to the single layer of columnar epithelium and only under- ducts of the mesonephros (Wolffi an ducts).
    [Show full text]
  • Clinical Pelvic Anatomy
    SECTION ONE • Fundamentals 1 Clinical pelvic anatomy Introduction 1 Anatomical points for obstetric analgesia 3 Obstetric anatomy 1 Gynaecological anatomy 5 The pelvic organs during pregnancy 1 Anatomy of the lower urinary tract 13 the necks of the femora tends to compress the pelvis Introduction from the sides, reducing the transverse diameters of this part of the pelvis (Fig. 1.1). At an intermediate level, opposite A thorough understanding of pelvic anatomy is essential for the third segment of the sacrum, the canal retains a circular clinical practice. Not only does it facilitate an understanding cross-section. With this picture in mind, the ‘average’ of the process of labour, it also allows an appreciation of diameters of the pelvis at brim, cavity, and outlet levels can the mechanisms of sexual function and reproduction, and be readily understood (Table 1.1). establishes a background to the understanding of gynae- The distortions from a circular cross-section, however, cological pathology. Congenital abnormalities are discussed are very modest. If, in circumstances of malnutrition or in Chapter 3. metabolic bone disease, the consolidation of bone is impaired, more gross distortion of the pelvic shape is liable to occur, and labour is likely to involve mechanical difficulty. Obstetric anatomy This is termed cephalopelvic disproportion. The changing cross-sectional shape of the true pelvis at different levels The bony pelvis – transverse oval at the brim and anteroposterior oval at the outlet – usually determines a fundamental feature of The girdle of bones formed by the sacrum and the two labour, i.e. that the ovoid fetal head enters the brim with its innominate bones has several important functions (Fig.
    [Show full text]
  • Left Vaginal Obstruction and Complex Left Uterine Horn Communication in a 12 Year Old Female Barry E
    Perlman et al. Obstet Gynecol cases Rev 2015, 2:7 ISSN: 2377-9004 Obstetrics and Gynaecology Cases - Reviews Case Report: Open Access Left Vaginal Obstruction and Complex Left Uterine Horn Communication in a 12 Year Old Female Barry E. Perlman*, Amy S. Dhesi and Gerson Weiss Department of Obstetrics, Gynecology and Women’s Health, Rutgers - New Jersey Medical School, Newark, USA *Corresponding author: Barry E. Perlman DO, Department of Obstetrics, Gynecology and Women’s Health, Rutgers - New Jersey Medical School, MSB E-506, 185 South Orange Avenue, Newark, NJ 07101-1709, USA, Tel: 732 233 0997, E-mail: [email protected] Transabdominal pelvic sonogram revealed two prominent uterine Abstract cornua with an endometrial thickness of 3 mm in each horn. The Obstructive Müllerian duct anomalies are an infrequently right cornu measured 11.4 x 2.0 x 3.6 cm and the left cornu measured encountered clinical problem. The use of imaging and surgical 10.4 x 2.8 x 4.1 cm. A 7 cm mass in the endocervical canal, concerning exploration allowed for diagnosis and treatment of symptoms of a for hematocolpos, represented an occlusion extending to the left complex obstructive müllerian anomaly. We present a case of a 12 vagina (Figure 1). year old female with a history of intermittent lower abdominal pain and absent left kidney who was found to have an obstructed left She underwent further imaging with two MRI studies that were vagina and complex left uterine horn communications resulting in mutually inconclusive and inconsistent in regards to her pelvic hematocolpos, hematometra, and endometriosis.
    [Show full text]
  • REPRODUCTIVE SYSTEM Vasco Dominic
    REPRODUCTIVE SYSTEM Vasco Dominic ORGANISATION Reproductive organs which produce gametes and hormones. Reproductive tract consisting of ducts, store and transport gametes. Accessory glands and organs that secrete fluids into the ducts of the reproductive system or into other secretory ducts. Perineal structures associated with the reproductive system, collectively known as external genitalia. The male and female systems are functionally different. In the male the gonads are the testes that secrete androgens, principally testosterone and produce a half billion sperms per day. After storage the sperm travel along a lengthy duct and mixed with secretions of the glands to form semen. In the female the gonads are the ovaries which produce only one mature gamete per month. The oocyte travels via a short duct into the muscular uterus. THE MALE REPRODUCTIVE SYSTEM TESTES Each has the shape of a flattened egg rougly 5cm long, 3cm wide and 2.5 cms thick and weighs 10-15 gms. They hang within the scrotum. During development the testes form inside the body cavity adjacent to the kidneys. As the foetus grows they move inferiorly and anteriorly towards the anterior abdominal wall. The gubernaculum testis is a cord of connective tissue and muscle fibers that extend from the inferior part of each testis to the posterior wall of a small, inferior pocket of the peritoneum. As growth proceeds the gubernacula do not elongate and the testes are held in position. During the seventh developmental month: growth continues at a rapid pace, circulating hormones stimulate contraction of the gubernaculum testis. Over this period the testes move through the abdominal musculature accompanied by small pockets of the peritoneal cavity.
    [Show full text]
  • An Overview of Vulvovaginal Atrophy‑Related Sexual Dysfunction in Postmenopausal Women
    Review Article An Overview of Vulvovaginal Atrophy‑Related Sexual Dysfunction in Postmenopausal Women Tochukwu Christopher Okeke, Cyril Chukwuma Tochukwu Ezenyeaku1, Lawrence Chigbata Ikeako1, Polycarp Uchenna Agu Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital (UNTH), Enugu, 1Anambra State University Teaching Hospital, Awka, Nigeria ABSTRACT Menopause and the climacteric period are associated with adverse risk factors for the development of vulvovaginal atrophy‑ related sexual dysfunction. Sexual dysfunction is a common problem in postmenopausal women, often underdiagnosed, inadequately treated, frequently overlooked, and most often impairing the quality of life of these women. To provide clinicians with current information on vulvovaginal atrophy‑related sexual dysfunction in postmenopausal women. This study is a literature review on vulvovaginal atrophy‑related sexual dysfunction in postmenopausal women. Relevant publications were identified through a search of PubMed and Medline, selected references, journals, and textbooks on this topic, and were included in the review. The prevalence of female sexual dysfunction increases with age. It is a common multidimensional problem for postmenopausal women that alter the physiological, biochemical, psychological, and sociocultural environment of a woman. Menopause‑related sexual dysfunction may not be reversible without therapy. Estrogen therapy is the most effective option and is the current standard of care for vulvovaginal atrophy‑related sexual dysfunction in postmenopausal women. Sexual dysfunction is a common multidimensional problem for postmenopausal women and often impairs the quality of life of these women. Estrogen preparations are the most effective treatment. Selective estrogen receptor modulators, vaginal dehydroepiandrostenedione, vaginal testosterone, and tissue‑selective estrogen complexes are promising therapies, but further studies are required to confirm their role, efficacy, and safety.
    [Show full text]