Adolescent Medicine Flashcards
Abnormal uterine bleeding treatment
Combined estrogen-progestin oral contraceptive
Absolute contraindication for combined OCPs (name 10)
Migraine with aura, <21 days postpartum, unknown AUB, liver dz, thromboembolic dz, cerebral events, HTN, smoking if >35 yo, unknown/sus prego, estrogen-dependent tumor
Adverse effects of DMPA (depot medroxyprogesterone acetate)
Osteoporosis, weight GAIN, nausea, acne, mood changes, thromboembolism, seizures, breast tenderness, delay return of regular meneses
Most common cause of breast mass in teenage girls
Fibroadenoma
Adolescent with amenorrhea, headache, blurred vision, and galactorrhea
Prolactinoma (Dz)
Strongest predictor of serous problems with substance use?
Drug abuse at early age
Most significant risk for inhalant use?
Sudden sniffing death syndrome (cardiac arrest)
PID but severe penicillin and cephalosporin allergy
Clindamycin and gentamicin
Sexually active adolescent with large, painless, and expanding suppurative ulcers that are beefy and bleed easily on the coronal sulcus and balanopreputial region (dz)
Granuloma inguinale (Klebsiella granulomatis)
Sexually active adolescent with several days of hearing loss, AMS, and decrease sensation in both legs (dz)
Neurosyphilis (if penicillin allergy, must desensitize and give penicillin)
Adolescent female, sexually active, with painful, pruritic, vesicular lesion on vulvar area, low-grade fever, CMT, and thin white vaginal discharge (dz)
HSV
Drug of choice for depression in adolescent
Fluoxetine => Escitalopram
Which eating disorder is better treated with SSRIs?
Bulimia
Overweight BMI?
85 to 95%ile
Teenager with sore throat, fatigue, bilateral parotid gland enlargement, petchiae on soft palate, and poor dental hygiene
Bulimia nervosa => hypokalemic hypochloremic metabolic alkalosis
