ANATOMY & PHYSIOLOGY II · MODULE 21
The bleeding and the empty crib nobody connected
Years of abnormal uterine bleeding, worked up alone. Infertility, worked up alone. This module builds reproductive anatomyThe study of the structure of the human body. and physiologyThe study of how the body functions., then reads both as consequences of a disease that had already inflamed everything else in the pelvis.
The findings this module reads together
Her bleeding was investigated as a gynecologic problem and her infertility as a separate misfortune. Neither workup asked what else was inflaming her peritoneumThe membrane lining the abdominal cavity and organs., and neither considered that recurrent peritonitis leaves adhesions behind.
Two forces, both hers: pelvic adhesions from repeated serositis, and a chronic inflammatory load that disturbs the hormonal axisSecond cervical vertebra; has the odontoid process (dens) for pivoting head (“no” motion). driving the cycle. Read that way, the empty crib was not bad luck. It was a diagnosis nobody had made yet.
PATIENT CHART · STINA · CHART CLUE #21
- Years — Abnormal uterine bleeding
- Years — Infertility, cause unexplained
- History — Recurrent peritonitis
- Inferred — Pelvic adhesions
Seven parts, one chart
Each part opens with a finding from Stina’s chart and asks you to commit to a prediction before any video plays, then alternates short videos with H5P activities. Work them in order.
21.1
The Bleeding and the Empty Crib
Two workups that never met, and what they missed.
CASE OPENING
21.2
The Female Reproductive Anatomy
The organs, their support, and their blood supply.
FEMALE ANATOMY
21.4
The Ovarian and Uterine Cycles
The hormonal conductor behind both cycles.
HORMONAL CYCLES
21.6
How FMF Reached Reproduction
Adhesions, inflammation, and the axis they disturb.
INFLAMMATION
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The Evidence Behind the Case
Every step of this module’s reasoning, paired with the peer-reviewed literature behind it.
REFERENCES
What you’ll be able to do
By the end of Module 21 you will be able to:
1
Identify the organs of the female reproductive systemThe organ system responsible for producing gametes and offspring. and describe their functions.
2
Identify the organs of the male reproductive system and describe spermatogenesis.
3
Describe oogenesisThe process of egg cell formation. and the events of the ovarian and uterine cycles.
4
Explain the hormonal control of the reproductive cycles.
5
Describe fertilization, cleavage, and implantation.
6
Explain how chronic inflammation and pelvic adhesions impair fertility.
Hop to:
← Familial Mediterranean Fever — case home
All pages for Module 21 — The Reproductive System
21.0 Module Overview
21.1 The Bleeding and the Empty Crib Nobody Connected
21.2 The Female Reproductive Anatomy
21.3 The Male Reproductive Anatomy and How Gametes Are Made
21.4 The Ovarian and Uterine Cycles and Their Hormonal Conductor
21.5 Fertilization and the First Days of Pregnancy
21.6 How FMF Reached Reproduction
21.7 Not Bad Luck, a Diagnosis
21.8 Conclusion and Assessment
21.9 Evidence Behind the Case
All Modules
- Anatomical Language, Membranes & Homeostasis
- Just Enough Chemistry
- The Cell & Its Transport
- Making Cells & Proteins
- The Integumentary System
- The Skeletal System
- The Muscular System
- Nervous Tissue & the Senses
- The Spinal Cord
- The Brain & the Blood–Brain Barrier
- The Autonomic Nervous System
- Special Senses (in developmentThe process of growth and differentiation.)
- The Endocrine System
- Blood
- The Heart
- Blood Vessels
- The Digestive System
- The Respiratory System
- The Urinary System
- Fluids, Electrolytes & Acid–Base Balance
- The Reproductive System
- The Immune System
List of terms
- anatomy
- physiology
- peritoneum
- axis
- reproductive system
- oogenesis
- development