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19 Cards in this Set
- Front
- Back
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Herpes (HSV 2)
*painful ulcer with smooth edges, clean base |
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Herpes (HSV 2)
*"3M-nuclei" = Multi-nucleated, Molded, Marginated |
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Molluscum contagiosum
*Dome-shaped papule with central umbilicus *Pox virus transmitted by fomites |
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Lymphogranuloma Venerum
*chlamydia spread to lymphatics *Bubos, painless ulcer, fistulas |
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Condyloma accumulata (HPV 6 & 11)
*low risk strains |
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Vulva skin is paper-like |
Lichen Sclerosis
*Thinning of epidermis w/ fibrosis of underlying dermis. Leukoplakia on gross exam |
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Pt has cottage cheese discharge on cervix |
Candidia
*Hyphae shish-kabob cervical squamous cells |
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Pt has frothy green discharge on cervix with foul odor |
Trichimonis
*Strawberry cervix w/ increased vaginal pH |
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These motile critters were found on a wet mount sample |
Trichimonis
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Cervix
*Black = endocervix with simple columnar epithelium *White = exocervix with stratified squamous epithelium *HPV infects basal cells of transformation zone b/w endo- and exocervix |
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Normal Pap
*Squamous cells have small nuclei *Neutrophils present but not pathologic |
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Mild Dysplasia of Cervical cells with Koilocytic change
*Enlarged, irregular nuclei w/ cytoplasmic clearing creating a halo *Normal cell on far right |
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CIN I
*Basal proliferation ~1/3 of tissue w/ koilocytic change in squamous layer |
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CIN 2
*Basal proliferation ~2/3 of tissue w/ koilocytic change in squamous layer |
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Severe Dysplasia of Cervical cells w/ High N/C ratio and hyperchromatic nuclei (right is normal cell) |
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CIN 3
*Basal proliferation extend almost the entire length of tissue |
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Invasive Squamous Cell Carcinoma of Cervix |
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Invasive Squamous Cell Carcinoma of Cervix
*Left = "Tadpole cell" and Right = "Spindle Cell." Both are Pap findings characteristic of invasive cervical cancer |
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Taken from Vagina |
Clear Cell Adenocarcinoma
*Majority = vaginal tumors of daughters of mothers who took DES to prevent miscarriage, but rarely can occur in ovary *Upper arrow points to "clear cell" and bottom points to "hobnail cell" |