First Line Treatments! Flashcards
First line and treatments
Toxoplasmosis
Pyrimethamine + Sulfadiazine
Congenital Syphilis
Pencillin
Rubella
Prevention
Ctyomegalovirus
Ganciclovir, Valganciclovir, No therapy
Congenital HSV
Acyclovir
Zika
None, managment
Condyloma acuminata
Patient- Imiquimod, Podofilox, Sinecatchins
Doc- TCA, Cryotherapy,
Molluscum Contagiosum
Resolves 6-12mo, Cimetidine, Podophyllotoxin
Genital HSV
Acyclovir and Valacyclovir
Folliculitis
Resolves in 2 weeks, mupircon, dicloxacillin
Chancre
Penicillin G
Chancroid
Azithyromycin or Ceftriazone IM
Candidiasis Infection
Oral flucanzole or Imidazole
Bacterial infection
Metronidazole or Clindmycin
Chlamydia
Azithromycin or Doxycycline
Gonorrhea
Ceftriaxone IM + Azithromycin
Trichomoniasis
Metronidazole or Tinidazole
PID
Cefotetan IV OR Cefoxitin + Doxycycline
Outpatient: Ceftriaxone IM + Doxycycline +/- Metronidazole
Infertility
Weight loss, Letrozol
PCOS
Weight loss, OCP, Metformin
Endometriosis
NSAIDs, GnRH agonist, IUD, OCP, Progestin, Danazol
Surgery: Laparoscopic or Comprehensive
Dermoid Cyst
Cystectomy or Oophectomy
<5cm observe/manage
Hydrosalpinx
Salpingectomy
Hydrosalpinx
Salpingectomy
Ruptured Ovarian Cyst
OCP, analgesics, rest, surgery
Theca-Lutein cyst
discontinuation of meds
Ovarian torsion
Surgery
Complicated Ruptured Ovarian Cyst
inpatient observation or surgery
Cervical cancer
LEEP, Cryosurgery, Hysterectomy, Chemo/Radiation
Endometrial cancer
Fractional curettage hysteroscopy
Ovarian Cancer
TAH, BSO
Chemo: Carboplatin and Paclitaxel
Vaginal neoplasm
radiation therapy
Vulvar neoplasm
surgical excision, radiation/chemo
Polythelia/Polymastia
NO excision required
Premature thelarche
benign self limited
Ectopic Pregnancy
Methotrexate
Heterotopic Pregnancy
Salpingectomy
KCL, Hypersomolar glucose
Breast Asymmetry
none
Breast Hypertrophy
reduction mammoplasty
Tuberous breast
hormone replacement
Cyclic breast pain
OCP, NSAID, mechanical support, diet
Non-cyclic brest pain
Treat cause
Puerperal mastitis
Dicloxacillin
Galactorrhea
txt cause, Bromocriptine, Carbegoline
Galactorrhea
txt cause, Bromocriptine, Carbegoline
Breast cyst
aspirate if painful
Complicated breast cyst
drained, not resolve biopsy
Complex breast cyst
excision
Fibroadenoma
triple test, if growing remove!
Fibroadenoma
triple test, if growing remove!
Galactocele
subsides
Phylloides tumor
wide local excision
Breast cancer
Tamoxfen
Cervical Prolaspe
Sacrocolpopexy
No longer desire sexual activity
Colpoclesis
Urinary Incontinence
Kegel, Anti-muscarinic, B3 agonist (Mirabegon), Botox
Menopause
Hormone therapy (HT)
Vaginal Atrophy
Replens
Vasomotor symptoms
estrogen, abates over time
Osteoporosis
drug therapy
Pregnancy nausea/ vomiting
Vit B6 and doxaylamine
ASC-US
LEEP, Cryosurgery, Cold Knife