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OnlineMedEd Shared "Gynecology - Primary Amenorrhea" - 6 Picmonics

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Gynecology - Primary Amenorrhea

Craniopharyngioma

Hypopituitarism

Remnants of Rathke's Pouch

Tooth-enamel Like Calcification

Cholesterol Crystals

Yellow Viscous Fluid

Headache

Bitemporal Hemianopsia

1 min

Kallman Syndrome

Mutation in KAL-1 or FGFR-1 Gene

Failure of GnRH Secreting Neurons

Delayed Puberty

Anosmia

Hypogonadism

Infertility

2 mins

Turner Syndrome

Female (XO)

Short stature

Shield Chest

Cystic Hygroma (Webbing of Neck)

Lymphedema in Hands and Feet

Ovarian Dysgenesis

Streak Ovary

Decreased Estrogen

Increased FSH

Increased LH

Dysgerminoma

Bicuspid Aortic Valve

Preductal Coarctation of the Aorta

Horseshoe Kidney

Menopause before Menarche

Amenorrhea

5 mins

Androgen Insensitivity (Complete)

Defect in Androgen Receptor

Phenotypically Female

(46, XY)

Female External Genitalia

Rudimentary Vagina

Scant Sexual Hair

Testes Often in Labia Majora

Testes Surgically Removed to Prevent Malignancy

Increased Estrogen, Testosterone, and LH

Absent Uterus and Fallopian Tubes

3 mins

5 Alpha Reductase Deficiency

Autosomal Recessive

Inability to Convert Testosterone to DHT

Normal Internal Genitalia

Ambiguous External Genitalia until Puberty

Masculinization During Puberty with Growth of External Genitalia

LH can be Increased

Normal Estrogen, LH, and Testosterone levels

2 mins

Klinefelter's Syndrome

Male (XXY)

Eunuchoid Body Shape

Gynecomastia and Female Hair Distribution

Testicular Atrophy

Dysgenesis of Seminiferous Tubules

Possible Developmental Delay

Hypogonadism

Decreased Inhibin B

Increased FSH

Abnormal Leydig Cell Function

Decreased Testosterone

Increased LH

Increased Estrogen

Barr body (inactivated X chromosome)

6 mins

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