Definitions- office Flashcards
Bi-rads
0= incomplete
1= negative
2- benign
3- likely benign
4= suspicions (2-94%)
5= highly suspicious (>95%)
6= biopsy proven cancer
Obesity
Class 1; BMI 30-34.9
Class 2: 35-39.9
Class 3: 40+
decreased sexual interest
lack of 1) interest 2) sexual thoughts 3) initiation of SA 4) excitement during SA 5) sensation during SA
At least 3 for at least 6 months and distressing
genitopelvic pain/pentration disorder
1) difficulty having sex
2) marked pain during sex
3) fear/anxiety about pain
4) tensing of muscles during penetration
At least 1 for at least 6 months and distressing
Pelvic floor PT
myofascial release, trigger point pressure, electrical stimulation, pelvic floor retraining, biofeedback
vulvodynia
pain at vestibule with pressure point testing
no identifiable cause
>3 months
Genetic carrier screen
ethnic specific, panethnic, and expanded carrier screening are acceptable strategies for pre-pregnancy and prenatal carrier screening
Low bone mass
T score between -1 and -2.5
treat if 3% hip fracture risk and 20% major fracture risk
Osteoporosis
T score of <-2.5; treat
hemorrhagic cyst
in ovulatory patients, a follicular cyst forms mid cycle followed by a corpus lutuem
typically physiologic cysts
more likely to rupture in luteal phase and this may be spontaneous or triggered by activity like sexual intercourse
wet mount/KOH prep
0.9% NaCL (2 drops), look within 10-20 minutes
10% KOH destroys cellular elements and facilitates visualization of hyphae
clue cells
epithelial cells studded with adherent coccobacilli are best appreciated at the edge of the cell
at least 20% on wet mount should be clue cells
Amine test
smelling (whiffing) slide immediately after applying KOH
fishy odor of BV
granulation tissue
combined production of collagen and growth of capillaries resulting in exophytic mass which prevents pre-epithelialization
Treat with silver nitrate, laser, cautery, curettage, topical steroids
fibrocystic breast changes
non proliferative breast changes
mild hyperplasia of the usual type is an increase in the number of epithelial cells within a duct that is more than 2, but not more than 4 cells in depth
stress urinary incontinence
involuntary leakage of urine on effort or exertion or on sneezing or coughing
cough stress test
supine position during PE. however if not observed, repeated with patient standing and a full bladder
urethral hypermobility
30 degree or greater displacement from the horizontal when the patient is in supine lithotomy position and straining
urge incontinence
urge to void immediately preceding or accompanies by involuntary leakage of urine
asymptomatic bacteriuria
two consecutive voided urine specimens with isolation of the same bacterial strain in quantitative counts of >100k CFU/mL or single catheterized urine specimen with one bacterial species isolated in quantitative count of >100k CFU/mL
pyelonephritis
flank pain
n/v
fever >38 (100.4)
and or CVA tenderness, with or without typical sx of cystitis, confirmed by finding bacteriuria in setting of these symptoms
recurrent UTI
3+ uti in pregnancy (2 in 6 months, or 3 in 12 months)
nitrite
reflects presence of enterobacteriaeceae which convert urinary nitrate to nitrite
leukocyte esterase
enzyme release by leukocytes reflecting pyuria
adequate colposcopy
The entire SCJ and transformation zone are visualized circumferentially around the external os
the margins of any visible lesions must be fully identified
the histologic results from the biopsies of the lesions should explain the abnormal cytology
LSIL/HSIL
LSIL generally a transient HPV infection
HSIL more likely to be associated with persistent HPV infection and a higher risk of progression to cervical cancer
CIN 1/2
Mild (HPV effect, cellular changes in lower 1/3 of epithelium)
moderate (basal 2/3)
severe dysplasia (>2/3 of epithelium)
reliable dating
1st tri sono
2nd tri sono + history
UPT + for 36w
Doppler FHR x30w
suboptimal dating
if sono >22w; manage according to best estimate; repeat scan 4w later; dont deliver before 39w unless necessary ; induce at 41w
GDM cut offs
1 hour 50 g: >130
3 hour 100g: 95/180/155/140
2 hour 75g: >126 (fasting) or 200 (at 2 hour)
impaired tolerance PP if 100-125 or 140-200 or A1c 5.7-6.4
stage I HTN
130-139/80-89
elevated blood pressure
120-129/80
stage II HTN
> 140/90
irritable bowel syndrome
rome IV criteria: recurrent abdominal pain at least one day per week in the last three months, associated with two or more of
- relation to defection
-change in stool frequency
-change in stool form
Postpartum depression
EDS >12 (max=30)
5+ symptoms present during the same two week period and represent a change from previous functioning, within 12mo of birth
sx: dysphoria, anhedonia, worthlessness, guild, impaired concentration, SI
Postpartum blues
transient condition
several mild depressive symptoms such as sadness, crying, irritability, anxiety, insomnia, exhaustion, and decreased concentration
mood lability that may include elation
resolves within 2 weeks
Bulimia nervosa
recurrent binge eating (2 meals or 2000 cals or until uncomfortably full within 2h) with inappropriate compensatory behavior at least 1/week for at least 3 months
