Adolescent Flashcards
Age of consent
16 years old
x3 close age exceptions to consent
- 14-15 years old = up to 5 years older
- 12-13 years old = up to 2 years older
- Not in a position of authority
What class of medications may reduce efficacy of OCP?
Anti-epileptics
What supplementation may you add if on Depo-Provera?
Calcium and vitamin D for BMD
Treatment for chlamydia STI
Doxycycline 100mg PO BID x7 days
Or Azithromycin 1g PO x1 dose
Treatment for gonorrhea STI
Ceftriaxone 250mg IM x1
Azithromycin 1g PO x1
PID complications if untreated
- Ectopic pregnancy
- Chronic pain
- Infertility
Criteria for PID
- Minimum = lower abdo pain PLUS either: adnexal, uterine, and/or cervical motion tenderness
- Increased specificity = fever, vaginal discharge, WBC, ESR/CRP, +G/C
Age range for thelarche + how far ahead before menarche
8-14 years old
Precedes menarche by 2 years
Dosing schedule for HPV for child > 15 years old?
Three doses - now, x1 month, x6 months
Cannabis Withdrawal Syndrome criteria
2/5 psychological symptoms = irritable, anxiety, depressed mood, sleep disturbance, appetite change
1/6 physical symptoms = abdo pain, shaking, fever, chills, headache, diaphoresis
Nicotine replacement therapy - contraindication
None
Chlamydia trachomatis testing
First catch void urine
Vaginal swab
Endocervical/urethral swab
First line treatment for AN
Family based therapy
Only FDA approved medication for Bulimia Nervosa
Fluoxetine
Most common cause of abnormal uterine bleeding
Anovulatory bleeding
Best medications to consider for acute heavy menstrual bleeding
- OCP
- TXA
- NSAIDs
For adolescents how much estrogen do you want in an OCP
At least 30 mcg
Two most important labs for heavy menstrual bleeding
B-HCG
CBC
MOA of contraception
- Progestin = thickens cervical mucus, alter tubal transport time, inhibit ovulation
- Estrogen = blunt FSH release
- Endometrial atrophy
Fitz-Hugh-Curtis Syndrome = cause
- Majority caused by Chlamydia, complication of PID
What type of urine sample is preferred for G+C testing?
- First catch preferred over midstream
Most common cause of school absenteeism in females?
Dysmenorrhea
Classic definition for primary amenorrhea
- No menses by 14 WITHOUT secondary sex characteristics
- No menses by 16 WITH secondary sex characteristics