Day 13 - Gyn2 Quiz Flashcards
Tx PMS & PMDD
Exercise, B6, NSAIDs, OCPs, Progestin; SSRIs +/- Midazolam
Tx of choice for primary dysmenorrhea
NSAIDs +/- OCPs
Most common cause of hirsuitism in US
PCOS
Lab findings used to dx PCOS
Elevated LH; Total testosterone elevated, DHEA-S normal, Androstenedione elevated
Sexually active F p/w classic sx UTI cystitis, gram stain urine shows no organisms - suspected organism
Urethritis due to Chlamydia trachomatis (i.e., intracellular organism)
Meds tx syphilis
Pencillin G; If penicillin allergic, Doxycycline or Tetracycline
Dx PID
Primarily clinical - low dx threshold; Abdominal or pelvic pain in absence of other etiologies, with CMT/adnexal tenderness, leukocytosis, vaginal/cervical discharge, WBCs on wet prep, elevated temp, elevated ESR/CRP
Meds tx PCOS
Weight loss, Exercise; OCPs (reduce likelihood of endometrial hyperplasia); Progesterone withdrawal (opposing estrogen); Metformin; Spironolactone (acne, androgenic effects); Statins (cholesterol profiles); If pregnancy, start w/ Metformin or use Clomiphene to induce ovulation
Most common cause of female infertility
Endometriosis
What volume/duration/frequency of bleeding considered abnormal uterine bleeding
More than 7 days of menses OR > 80 mL per cycle; More frequent than q 24 days or less frequent than q 35 days
Distinguishing feat of bacterial vaginosis, Trichomoniasis, & Candidal vaginitis
BV: Clue cells, high pH (> 4.5); TRICH: Motile trichomonads, also high pH, strawberry cervix w/ cervical petechiae; CV: pseudohyphae on KOH prep, normal pH, cottage cheese like discharge
STD can be mistake for IBD due to its assoc w/ fistula formation
Lymphogranuloma venereum (caused by Chlamydia trachomatis - L1, L2, L3 serotypes)
Indication for endometrial bx in w/u for abnormal uterine bleeding
Pt bleeding more frequently (menorrhagia/metorrhagia/menometorrhagia) & over age 35 OR risk factor for endometrial hyperplasia (e.g., PCOS, excess estrogen exposure)
