Adolescent Flashcards
Treatment of lymphogranuloma venerum
21 days of doxy
SubQ nodules –> ulcers. Deep purple intracellular inclusion bodies on wright stain
Klebisella granulomatosis
What ages does male gynecomastia occur
Common in 11-14 months (peak onset at 13), up to 15-17, atypical after 17. Resolves within 6-24 months of onset
Typical timing of menarche in relation to thelarache
Thelarache is typically first, with menarche on average 2-2.5 years later
Punctate petechial lesions of vaginal wall and cervix in setting of dysuria and vaginal discharge
Trichomoniasis
Fever, myalgias, arthralgias, tenosynovitis with petechial vesicles that may become necrotic
Disseminated gonococcus
Purpose of retesting after treatment for chalmydia/gonorrhea
not a test of cure. But a test to ensure no reinfection by continued intercourse with untreated partner. Recommendation is 3 months after initial treatment
When does peak height velocity occur?
Around SMR 2-3 in females (around 11.5), SMR 3-4 in males (around 13.5)
Asymptomatic, gray-white, malododorous vaginal discharge with pH <4-4.5
Physiologic leukorrhea
Russel’s Sign
calluses on knuckles due to hands continually hitting teeth with induced vomiting
Purpose of the progesterone challenge test in secondary amenorrhea
Checks for adequate estrogen stimulation of the endometrial lining. If you bleed - then you had adequate estrogen stimulation and have built up the lining, just didn’t have the progesterone to initiate bleeding (PCOS). If no bleeding - then absence of estrogen (eating disorders, stress, excessive exercise)
What is the theory for high HPV acquisition in adolescents?
There is a high rate of metaplasia at the transformation zone of the cervix in adolescence of puberty and complete by young adulthood. This is where HPV infects
Treatment of premenstrual dysphoric disorder
SSRI
