oo Sprint LTE 10:12 AM Expert Q&A; Done Answer questions 1,2,3,4, &5 CLENICAL CA
ID: 99230 • Letter: O
Question
oo Sprint LTE 10:12 AM Expert Q&A; Done Answer questions 1,2,3,4, &5 CLENICAL CASE 10 REPRODUCTIVE SYSTEM A 34 year-old woman visits an infertility clinic complaining that she a have attempted conceive for 3 years without results and her husband revealed a past of unprotected sex with different partners She always had irregular per ' No-vic or Pap smears have been done inthe past 10 Her cervix appeared to be inflamed and bled easily during scraping for a Upon pelvic examination she had bilateral, slightly tender masses on either side of her uterus, each 6-8 cm in diameter. Imaging revealed bilateral complete obstruction of both fallopian tubes. A lab of cervical mucus tested positive for STD. Her Pap test result was "High-Grade Squamous Intraepithelial Lesion. A total hysterectomy is performed Pap smear Questions 1. What is the diagnosis (referring to the Pap test 2. What do you think is the stage of the disease? 3. Which is the causative agent of this disease? 4. What do you think is the cause of fallopian tubes' obstruction? Which is the most common STD that produces this condition? 5. What are the two bilateral masses?Explanation / Answer
High grade squamous intraepithelial lesion or HSIL is a type of cervical dysplasia found in microscopic analysis of the cervical cells.Cervical dysplasia refers to occurence of pre-maligant or precancerous cells in the cervix and opening of uterus.
Infection with human papilloma virus (HPV) or genital warts can lead to HSIL.Just being positive for HPV does'nt affect the conception abilities but if it has cancerous stain as in the above case can affect the conception ability.
The obstruction in the fallopian tube as in the above case prevents the egg from travelling down the tube and causes tubal factor infertility.
A hydrosalpinx is a specific type of fallopian tube blockage.Most often hydrosalpinx is caused by long term infection of the fallopian tubes.The infection may also occur due to sexually transmitted diseases,ruptured appendix etc.
Most common type of STD infection include chlamydia or gonorrhea.
Pelvic masses is a term for any growth or tumor on the ovary or the pelvis.Pelvis adhesions are scars or fibrotic tissue that develop around the tubes,ovaries,bowel and the uterus.
Related Questions
Navigate
Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.