Download GYN Objectives

Female Genital System
Lecture Objectives
Reading
Basic Robbins Chapter 18, pages 681-704
Big Robbins Chapter 22
Slides
22, 34, 37, 94, 104, 153, 155, 163, 181, 192, 198, 223 and normal uterus slide.
Online clinical case
#12 A woman with vaginal bleeding
TBL cases 5 – 7 (located after the breast lecture notes)
Vulva
Vulvitis etiologies (irritant, allergic, infectious dermatitis)
Bartholin gland cyst
Lichen sclerosus et atrophicus
Lichen simplex chronicus
Condylomata lata
Condylomata acuminata
Carcinoma subtypes (HPV and non-HPV associated)
Extramammary Paget Disease
Vagina
Embryologic development
Arcuate, septate, bicornuate, didelphic uteri
Vaginitis etiologies (Candida, Trichomonas, Gardnerella, Molluscum contagiosum)
Carcinoma subtypes (squamous cell and clear cell)
Sarcoma botryoides
Cervix
Cervicitis etiologies (Chlamydia, N. gonorrhea, Ureaplasma, HSV-2)
Cervical dysplasia/neoplasia
Transformation zone
CIN risk factors
HPV subtypes
Pap testing
Colposcopy, LEEP
Carcinoma subtypes (in situ and invasive squamous and endocervical carcinomas)
Female genital system lecture objectives, page 2
Corpus uteri
Endometritis etiologies (infectious, retained products, IUD) and complications
Adenomyosis
Endometriosis (etiologies, complications)
Endometrial cycle
menorrhagia, metrorrhagia, oligomenorrhea, amenorrhea, menopause, postmenopause
Abnormal uterine bleeding
Etiologies by age group
Organic uterine lesions vis-à-vis functional etiologies
Endometrial hyperplasia, endometrial polyps
Leiomyomata
Leiomyosarcoma, STUMP
Endometrial carcinoma subtypes
Malignant Mixed Müllerian Tumor (Triple MT)
Fallopian Tubes
Salpingitis
Tubo-ovarian abscess
Pelvic inflammatory disease (PID)
Ovaries
Hypothalamic-pituitary-ovarian-placental endocrinology
Gonadotropin releasing hormone, FSH, LH, estrogen, progesterone, hCG
Follicular and luteal cysts
Polycystic ovary disease (POCD)
Torsion of ovary
Tumors of the ovary
Surface epithelial tumors
Cystadenoma, cystadenofibroma, tumors of low malignant potential,
cystadenocarcinoma, carcinoma
Serous tumors
Psammoma bodies
Mucinous tumors
Pseduomyxoma peritonei, Omental caking
Endometrioid tumors
Brenner tumors
Germ cell tumors
Benign (mature) cystic teratoma/dermoid cyst
Malignant (immature) teratoma
Struma ovarii
Dysgerminoma
Yolk sac (endodermal sinus) tumor
Schiller-Duval body, α-feto protein
Choriocarcinoma
Syncytiotrophoblasts, β-hCG
Sec cord-stromal tumors
Derivation
Granulosa cell tumor (granulosa cell-thecoma tumor)
Call-Exner bodies
Juvenile granulosa cell tumor
Fibroma-thecoma
Female genital system lecture objectives, page 3
Meigs syndrome
Sertoli-Leydig cell tumor (androblastoma)
Metastatic tumors to the ovary
Müllerian and extra-Müllerian origin
Krukenberg tumor
Diseases of Pregnancy
Placentation
Syncytiotrophoblasts, trophoblasts, chorionic villi, intervillous space
Single umbilical artery, umbilical knot, cord prolapse, nuchal cord, amniotic band
syndrome, placental infarction, abruption, placenta accrete/increta/
percreta, succenturiate lobe, velamentous insertion, placenta previa
Twin gestation
Zygosity
Monoamnionic monochorionic (MoMo)
Diamnionic monochorionic (DiMo)
Diamnionic dichorionic (DiDi), fused or separate
Twin-twin transfusion syndrome
Placental infections
Ascending (transcervical) infections
PPROM, PROM, chorioamnionitis, funisitis
Hematogenous (transplacental) infections
TORCH
Ectopic pregnancy
Gestational trophoblastic disease
Hydatidiform mole
Complete and partial, cytogenetics
Invasive mole
Choriocarcinoma
Gestational and non-gestational/gonadal
Preeclampsia/Eclampsia
Hypertension, edema, proteinuria
Seizure, coma
Decreased uteroplacental blood flow
Placental infarcts, maternal endothelial dysfunction, end organ failure
HELLP