Adolecent Flashcards
What are the 3 main cognitive development areas for adolescents
Develop reasoning skills
Think abstractly
Start thinking about thinking
Three main areas of psychosocial development for adolescents
Autonomy
Sense of identity
Ability for future orientation
Criteria for diagnosis of anorexia nervosa
Distorted body perception
Weight 15 percent below expected
Intense fear of gaining weight with restriction of energy intake
Absence of 3 consecutive menstrual cycles
Indications for hospital admission with anorexia (10)
Wt < 75% ideal body wt Continued wt loss despite outpt management Acute wt decline and refusal of food Hypothermia Hypotension Bradycardia Orthostatic changes Electrolyte abnormalities Arrhythmia Suicidality
Indications for hospital admission with bulimia
Failure of outpatient tx Dehydration EKG abnormality Mallory Weiss tear Suicidal ideation
Smr staging at onset of menarche
3 or 4
After menarche how much more height will girls gain
4cm / 2 in
Absolute contraindications to contraceptives
Migraine with focal aura or neurological changes
Pregnancy Uncontrolled HTN Liver disease Breast cancer Cerebro vascular disease Hx of DVT Hx of pulmonary embolism Factor V Leiden or other thrombophilic condition
Definition of primary amenorrhea
No menses 2 yrs after full sexual maturation (tanner V)
No menses and absent pubertal changes at 14 yrs of age
Lab findings in PCOS
LH:FSH ratio > 2.5
Elevated androgen level
Heavy menstrual bleeding without pain. What should you consider
Chlamydia
Menorrhagia or hypermenorrhea definition
Heavy or prolonged bleeding at regular intervals
Metrorrhagia definition
Irregular vaginal bleeding
Menometrorrhagia definition
Heavy vaginal bleeding at irregular intervals
Polymenorrhea definition
Frequent vaginal bleeding more often than every 21 days
Underlying etiología to consider for dysfunctional uterine bleeding
Tubal pregnancy/ threatened abortion
PID Thyroid disease Medications Bleeding disorder PCOS Trauma Systemic disease
Non sexually transmitted diseases causing vulvovaginitis
Enterobius vermicularis
Group A strep
Staph
Candida
Most common causes of vulvovaginitis
Poor hygiene, chemical irritants, tight clothing, foreign body
Triad of BV
Copious white gray discharge
Vaginal oh > 4.5
Clue cells on microscopy
Key words for trichomonas vaginalis
Flagellated organism
Frothy yellow discharge
Strawberry cervix
Tx with metronidazole
Minimal criteria for dx of PID
Lower abdominal or pelvic pain along with uterine adnexal or cervical motion tenderness
Management of ovarian cysts
< 6cm - follow up ultrasound
> 6cm or those causing significant symptoms - laparoscopic cyst aspiration
What should you think of in a child greater than 3 yrs who has condyloma acuminata
Child abuse
Gentian warts before age 3 could be due to transmission through the birth canal
