Congenital defects of female generative organs development

Содержание

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Task № 1. A girl of 14 years old was brought

Task № 1.

A girl of 14 years old was brought авлена

to gynecological department
with complains on repeated cyclic с painsся pains, sensation of heaviness
in low part of abdomen, sometime
problems with urination.
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What are Your questions?

What are Your questions?

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Date of anamnesis of disease: From 13, 5 years old she

Date of anamnesis of disease:

From 13, 5 years old she has

cyclic, repeated pains in low part of abdomen, sometime nausea, vomiting. No menstruation.
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Anamnesis of vitae She was growing in coordination with age. She

Anamnesis of vitae

She was growing in coordination with age. She had

in the past chronic tonsillitis .
According to mother ‘s telling , she had such problem, as chronic vulvitis and was treated children’s gynecologist. In present time there is no acute stage of disease.
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Date of common examination: Height is158 sm, mass 56kg. Right way

Date of common examination:

Height is158 sm, mass
56kg. Right way

of body buправильного
Built, satisfactory feeding.
Breasts are defeloped.
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Date of gynecologic examination: Hair growing is on female type. Vulva

Date of gynecologic examination:

Hair growing is on female type. Vulva skin

color is pink. There is overloading of hymen.
Р.R. There is a large formation in small pelvis, elastic consistence , on the top of it there is a small hard organ.
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Methods of additional examination?

Methods of additional examination?

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Date of laboratory investigation. CBA – HG level is 132 gr\l

Date of laboratory investigation.

CBA – HG level is 132 gr\l ,

erythrocytes 3 mln 200thousand.
Leucocytes- 6800
Fibrinogen is 4, 5 gr/ lл
Degree of vagina purity is the II ,
Blood group is В( III) third, Rh+( positive)
Normal of urine analysis .
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Date of USI: There is Echo- negative formation in small pelvis.

Date of USI:

There is Echo- negative formation in small pelvis.

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Provisional diagnosis is : Atresia of hymen.

Provisional diagnosis is :

Atresia of hymen.

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Put a differential diagnosis on the base of pictures.

Put a differential diagnosis on the base of pictures.

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Treatment is : Dissection of hymen with crest ‘s insision.

Treatment is :

Dissection of hymen with crest ‘s insision.

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What is a an amenorrhea form in this case?

What is a an amenorrhea form in this case?


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On which week of intrauterine development the internal female organs are formated?

On which week of intrauterine development the internal female organs

are formated?
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Time of formation is From 6 till 20 weeks. Muller’s ducts

Time of formation is

From 6 till 20 weeks. Muller’s ducts

on the 6 week.
From7 -8 weeks – growing and making together of ducts .
There are 2uterine- vaginal cavity in the beginning, separated by fibrous septum Process of reduction is performing from . caudal to cranial end.
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Risk group of defects From women with professional factors, smoker, drinkers,

Risk group of defects

From women with professional factors, smoker, drinkers, infection

diseases from 8 to 16 weeks, particular virus infections.
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Epidemiology Congenital defects take 4% among all types of defects .

Epidemiology

Congenital defects take 4% among all types of defects .
There

is increasing at 10 times quantity of defects
During the last 5 years.
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1 — атрезия; 2 — аплазия влагалища и матки; 3 —

1 — атрезия; 2 — аплазия влагалища и матки; 3 —

частичная или полная атрезия влагалища; 4 — удвоение влагалища и матки с частичной или полной аплазией одного из влагалищ.