7 - Reproductive Flashcards
STDs
- # 1 bacterial
- # 1 viral
B: chlamydia
V: HPV
Chlamydia
- adult inclusion vs trachoma
- tx
AI: D-K, chronic, inferior palpebral conj/fornices
T: A-C, mild superior pannus, Arlt lines, Herbert’s pits
Both: follicular AND papillary conjunctivitis (chronic red eye think Ch!)
Azithromycin, doxycycline
Gonorrhea
- incubation period
- tx
3-5 days
Single dose Ceftriaxone 250mg IM + doxycycline 100mg PO BID x 7 days (covers for chlamydia co-infection)
Herpes simplex virus
- stain
- tx
Wright-Giemsa stain
Multinucleated giant cells
Acyclo/famciclovir
-no cure, prophylactic to decr recurrence
Syphilis
- what
- primary/secondary/tertiary
Spirochete: Treponema pallidum
1) chancre
2) eye, kidney, mucous membr, skin, CNS, liver
3) nerous system: ARGYLL-ROB PUPIL (bilateral miotic eye, accomm response present, no light response)
Ocular syphilis
Intersitial K (90%) Salt/pepper fundus Uveitis CN/optic neuropathy Chorioretinitis/vitritis ARP
Syphilis testing
(+) RPR/VDRL = Right now (active)
+) FTA-ABS = Forever positive (have/active or had/latent
Prostate cancer
-testing
Elev PSA (prostate-specific antigen) possible indication
Pregnancy tests detect
Beta HCG (human chorionic gonadotropin hormone) levels
Pre-eclampsia and Eclampsia
PE: triad - HTN (>140mmHg), protein in urine, swelling in lower extremities
E: (+) seizures
Oxytocin vs prolactin
O: posterior pituitary, milk ejection
P: anterior pituitary, milk production
3 main ocular SE tamoxifen
Whorl K
CRYSTALLINE RET (only one)
Mac edema
Cancers
- women: most common, most deadly
- men: most common, most deadly
W:
- common = breast, lung, colon
- deadly = lung, breast, colon
M:
- common = prostate, lung, colon
- deadly = lung, prostate, colon
Spina bifida: defective closure of
Posterior vertebral arches
Right to left VS Left to right shunt birth defect
R->L: blue babies
-shunting of deoxy blood from RA/V to LA/V
L->R: blue kids, less severe deoxygenation
-shunting of oxy blood from LA/V to RA/V
