meningitis
hyW isnt ti eeomi?isotdsrn dulCo eoonmes ephl me out no ht?si
+2
meningitis
S,rory I asw foucgnnsi itwh gherhi iskr for iednlrmoeta a.miocacrn
+1
vi_capsule
toeEnsgr is lsepbesnior fro clicaylc nebgelid dan nipa cdeaisatso wtih oesdesnoiitrm enhce tgreinpos is a rtteantme .iymaldot tBu stegrnoe itns a iskr oartfc fro seiiErmdsot.on Rahret sereth rogreeatrd lwfo, tliapatmec tmrfsnoorntiaa etc esortieh aer iesnosepblr for r.eniostmoidse
+1
sympathetikey
Tfw uyo teg os hwnotr off by a utcrpie that oyu 'odnt aerd eth nqiuteos y.eorplrp
+34
hyperfukus
@iisnmneitg kdi fi u lilts ecar oll but laasyw og bcak ot pcenetiosoitco=irmsed rintmloeead suseit teodsiu fo eth usertu os uyo nca elru ti uto nicse sncraieed egresnto lowud saeuc ouy to vahe seerodwn trismedioneso or a hirekct neo tbu ton luoryetcy..di. cna ees hte mpslcu of het sofecilll ni teh iasrove fi yuo kolo eupsr oscel os ttah olagn htiw hte snneertoptia tkeas oyu ot COSP dna yenmtai uoy ontd' vaeh a abby or tsay in hte fiitveeparlor hseeerogn(taps pshe)a yuo get roeetnimadl iplt--omritgptgoeeaaf;ry&uihty-;llsrnalt--eaip& ianccarom
+2
lovebug
htrOe aesrnw gieHsM) rdeoymsn : ritd
a of 1) nravioa i,brfoam )2 sstiace, 3) rueplla iusf.nfoe โlโilunPg iosnatnse ni o.nirg FA ,9021 pg 326
+1
xw1984
Isn't oipnot G, tmoaimoyaeL et,uir dotecaasis wthi ihhg etsgoren evll?e reP FA 2,002 friidbo is nstrgeoe iteisves.n
+2
ownersucks
491xw@8 srsog aegim dowul shwo eluiptlm reodwlh ssasem
+1
I feel the clearest way to understand this question/answer hasn't been stated yet. Recall that the cysts in PCOS are unruptured follicles. If follicles don't rupture, you won't have corpus lutea, which won't secrete progesterone and therefore menstruation won't occur. This leads to unopposed estrogen and disruption of the menstrual cycle, which can cause endometrial hyperplasia.
The patient here is obese and has hirsutism. Her androgens are converted to estrogens in peripheral fat, causing hyperestrogenism.
The exact reason for increased androgens in PCOS is unclear, but it involves an increased LH:FSH ratio. Relative decrease in FSH inhibits estradiol synthesis in granulose cells and favors androgen production in theca cells.
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submitted by โmcl(671)
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$279$49PCSO si diostcsaea wtih olramban roucdiontp fo exs tsiod,ers nginidulc fisndytcuno fo steonerg iodpncrotu dna rreonpts.eoge lhrloCcnaiy etevedla eellsv fo otsegner anc easuc alreenodimt e.aarslphipy
soclwmwi.C.3rwi9n./p7/ps/t9hnPvhba1i5t:te9mM/nclg/./c
$279$49