7 Flashcards

1
Q

vestibulodynia

A

severe pain on touch or entry into the vagina

tenderness and erythema

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2
Q

lichen simplex chronicus

A

from chronic itching/scratching–damage skin

thick leathery labia with or without edema

tx: steroids and antihistamines

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3
Q

post exposure prophalyxis to hep B

A

within 7 days of IV exposure and 14 days within sex exposure

if unvaccinated: one dose of HBIG + vaccine

if vaccinated but nonresponsive: 2 doses HBIG or same as above

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4
Q

PID treatment

A

IV antibiotics

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5
Q

salpingitis symptoms

A

adnexal masses, fever, diarrhea, abd pain, cervical discharge

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6
Q

pelvic prolapse risk factors

A
multiparity
age
obesity
connective tissue dis.
chronic constipation
vag delivery > c -sect
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7
Q

treatment for intrinsic sphincteric deficiency (constant leak)

A

urethral bulking procedures

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8
Q

cystoceles repaired by

A

fixing defects in pubocervical fascia or reattaching it to sidewall

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9
Q

colpocleisis

A

quick procedure without anesthesia

vagina surgically obliterated

due to prolapse and hydronephrosis

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10
Q

least invasive procedure for pelvic prolapse

A

pessary

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11
Q

treatments for endometriosis in young nulliparious woman

A
  1. OCPs
  2. laser ablation
  3. TH BSO
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12
Q

how to confirm endometriosis diagnosis

A

diagnostic lap (exploratory)

no imaging!

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13
Q

next step in detecting hemorrhagic cyst

A

repeat US because they typically resolve

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14
Q

next step to helping woman with hx of endometriosis to conceive

A

ovarian stimulation with clomiphene citrate, with or without intrauterine insemination

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15
Q

diagnostic procedure for chronic pelvic pain (even in teens)

A

diagnostic lap

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16
Q

pelvic congestion syndrome

A

dilated ovarian and uterine veins

pain worse premesntrually and during pregnancy, aggravated by coitus, standing, fatigue

pelvic “heaviness” extends to vulva

17
Q

nerves at risk of injury during low transverse incision

A

ilihypogastric and ilioinguinal

sensation to groin, pubic symphysis, upper inner thigh, labium

18
Q

what can increase pain with fibrocystic changes?

A

caffeine

19
Q

if you find breast mass, what should you do

A

FNA or excisional biopsy