adol/gyn Flashcards
leading causes of death in teens
MVA
homicide
suicide
criteria for anorexia diagnosis
distorted body perception
weight 15% below expected
fear of gaining weight
absence of 3 menstrual cycles
some indications for anorexia admission
<75% IBW
body fat < 10%
when does menarche occur relative to thelarche
2 yrs after
SMR stage with menarche
3 or 4
decreased risk of what with OCPs
ovarian cysts endometrial and ovarian cancer colorectal cancer osteoporosis salpingitis ectopic pregnancy
absolute contraindications for OCPs
migraine with aura/neuro changes pregnancy HTN liver disease breast cancer hx of clot or thrombophilia
cutoff for primary amenorrhea
age 15 or 3 yrs after thelarche
PCOS lab findings
elevated androgen
LH:FSH > 2.5
labs in exercise induced amenorrhea
low estradiol
dysfunctional uterine bleeding in developing countries?
think TB
heavy menstrual bleeding without pain
think Chlamydia
when to treat labial adhesions
dysuria or secondary infection - tx estrogen cream
green vaginal discharge
gonorrhea or GABHS infection
flat pedunculated papular GU lesions, bleed with minor trauma
condyloma acuminata (HPV)