10: Well Woman Exam Flashcards
parity definition
of pregnancies that led to birth at/beyond 20 weeks or infant 500g+
definition of term vs preterm baby
term: 37-42 weeks
preterm: 20-36 weeks
20 weeks and below: abortion
average menstrual cycle range
21-35 days (28 +/- 7)
two MC causes of amenorrhea
pregnancy, menopause
Naegel’s rule
to estimate due date, subtract 3 months + add 7 days
what to discuss durig preconcption counceling
prenatal vitamins, folic acid, Hx chicken pox, do you have cats (toxo), risk at work?
how often women should have a breast exam done in office
q1-3 yrs for ages 20-39, q1 yr for 40+
ACOG recommends initial visit to OB/GYN when?
between 13-15
RFs for bone mineral density that warrant screening younger than the typical 65
Hx fractures, weight < 127, medical causes of bone loss, smoking, alcoholic, RA
mammography should be performed before 40 if the following are noted:
Hx breast CA or FHx, + for BRCA gene mutations, Hx high risk breast bx
lipid profile should be done earlier than 45 if…
Hx CAD, BMI > 30, Hx or FHx DM or PVD, CAD risk factors, FHx early CV disease, FHx HLD
colorectal screening should be performed earlier than 45 if the following are noted
FHx colorectal cancer or polyps, FHx FAP, Hx colrectal issues
three gps that should get the meningococcal vaccine
- asplenia
- college students and military recruits
- pts traveling to hyperndemic/endemic areas
chloasma
pigmentation over bridge of nose/under eyes, may be a sign of pregnancy
what angle to insert speculum
45 degree angle towards posterior
