REPRODUCTIVE and GU

1. 2. 3. Fibroadenoma cellular myxoid stroma, sometimes there are compressed cystic spaces. Males with 5 reductase deficiency - feminized external genitalia, small phallus and Hypospadias are common Polycystic Ovarian Disease Patients will benefit from therapy with Clomiphene, which is an estrogen receptor antagonist and will increase the release of GnRH and stimulates ovulation. Because in PCOS the patients ovaries will secrete estrogen which will feedback inhibit GnRH, and in treatment with Clomiphene, these receptors will be suppressed and thus GnRH will secrete estrogens and induce ovulation. Decidualization of endometrium is seen in pregnancy, its just another name for a change in the endometrium with gestation Estrogen and Progesterone in Pregnancy Estrogen will cause Increased Cholesterol Synthesis by Upregulating HMG CoA Reductase and Progesterone will reduce Bile Acid Secretion and Slow Gallbladder Emptying Partial Mole has a Triploid Karyotype, patient will present with Vaginal Bleeding and Lower Abdominal Pain Adenomyosis presence of Endometrial Glands in the Uterine Myometrium, and it will cause an Enlargement of the Uterus with Bleeding, and Painful Menses Endometriosis presence of Endometrial Tissue Outside of the Uterus, it will present with Painful Menses, Dyspareunia, but no Uterine Enlargement Weakened Vesicoureteral Junction will be due to Frequent Bladder Infections and will Facilitate Reflux Menopause is associated with increased levels of FSH. Primary Oocytes are arrested in Prophase of Meiosis I, and remain there until puberty. At puberty, it starts Meiosis II and gets arrested until fertilization in Metaphase of Meiosis II. Posterior Urethral Trauma is associated with Pelvic Fractures, and it will present with Inability to Void, despite Full Bladder and Elevated Prostate on Rectal Exam. Suspensory Ligament must be occluded during Surgery to Remove ovaries, to reduce the risk of accidental ligation of Ureters Spironalactone may be used in a female that complains of increased Hair Growth on her face, since it will block androgen receptors at hair follicles and decrease production of Testosterone. Use of Terbutaline will present in Infants with Intracranial Hemorrhage, Hypoglycemia, Hypocalcemia and Ileus.

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