CLINICAL CASE 10 REPRODUCTIVE SYSTEM year-old woman visits an infertility clinic
ID: 3523916 • Letter: C
Question
CLINICAL CASE 10 REPRODUCTIVE SYSTEM year-old woman visits an infertility clinic complaining that she and her husband A 34- have attempted conceive for 3 years without results. Her sexual history revealed a past of unprotected sex with different partners. She always had irregular periods. No pelvic or Pap smears have been done in the past 10 years. Her cervix appeared to be inflamed and bled easily during scraping for a Pap smear 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. 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
Answer 1
Diagnosis is surgically removed cervix or some major changes in cervix
Answer 2
The disease is severe dysplasia , it is the end stage of disease in which removal of cervix takes place
Answer 3
The causative agent of this disease is human papillomavirus, within the Papillomaviridae family it is a non-enveloped double-stranded DNA virus
Answer 4
Cause of fallopian obstruction
most common STD : chlamydia or gonorrhea.
Answer 5