Adolescent Health Flashcards
Chancroid
H ducreyi
“school of fish” on gram stain
tender, painful inflammatory lesions
rx with azithro, ceftriaxone or cipro
Granuloma Inguinale
Klebsiella granulomatous/Donovanosis
rare in the US
painless, friable, beefy-red ulcerative lesion
Lymphogranuloma Venerum
C trachomatosis serotype
painless genital ulcer,
hard fixed LNs (“groove along inguinal liagmaent”)
Precocious Puberty ages
before 8 years in girls
before 9 years in boys
Intraductal Pappilloma
benign slow growing tumor behind areola
bloody, discharge
Pysiologic Leukorrhea
normal increase in vaginal secretions 6-12 months prior to onest of menses
Primary Amenorrhea =
menses absent at 15
Secondary Amenorrhea =
absent for 3 months if regular cycles, 6 months if irregular cycles
Testing for Amenorrhea
Pregnancy Test LH, FSH Prolactin, TSH, free t4 total and free testosterone, DHEAS
Progesterone Challenge
give 10mg of medroxyprogesterone for 7-10 days
Expect bleeding 2-7 days afterwards, correlating with a progesterone deficiency
If progesterone challenge yields no bleeding…
either have disrupted anatomy or not enough estrogen
Give estrogen x 25 days + progesterone x 7-10 d
Abnormal Uterine Bleding Described as
cycles <20 days or >45 days
lasts >8 days
>6 full pads or tampons/day or anemia
Benign Pubertal Gynecomastia
~13 years of age
usually tender and asymmetric
normal resolves in 1 year
Spermatoceles
nodule above and posterior to the testes
sometimes transilluminates
Torsion of the testicular appendage
tender pea sized swelling at the upper pole of the testis w/ a blue dot sign
Anovulatory cycles due to
abscence of midsurge LH so ovulation and corpus leutum formation doesn’t happen
Russel Sign
callouses on knuckles due to bulimia
Trichinotillia associated deficieincy
iron
ODD & Conduct Disorder
> 6 months
Conduct: activities violate the rights/properties of others such as lying, stealing, physically aggressive, sexually coerisve, fire-setting, animal cruelty
Gynecomastia & drug use
cannabis
Spice is a …
synthetic cannaboid
ovarian cyst w/ calcifications
cystic teratoma
Recommended screening for all college atheletes
sickle cell test
Medications that interacte/make birth control less effective
phenytoin
