GU Flashcards
This STI has a strawberry cervix?
Trichomoniasis
How do we treat Trichomoniasis?
Flagyl
This has clue cells and a positive whiff test?
BV
How do we treat BV?
Flagyl
This STD has a friable cervix?
Gonorrhea and Chlamydia
How do we treat Gonorrhea?
Rocephin (Ceftriaxone)
How do we treat Chlamydia?
Azithromycin
This has painful, burning vesicles?
Herpes
How do we treat Herpes?
Antiviral within 48-72 hours
Acyclovir
Painless chancre or a rash on palms and soles?
Syphilis
How do we diagnose syphilis?
RPR
How do we treat syphilis?
IM PCN
What do we worry about in pregnant women with syphilis?
Spontaneous abortions
What method of birth control increases your risk of osteoporosis?
Depo-provera
Do not use for longer than 5 years
Vit D and Ca supplements
What combined option has the highest risk of blood clots?
Ortho-evra patch
Contraindications to combination options of birth control?
Current clot, liver disease, greater than 35 and smoke
Anytime a female of childbearing age presents with a GU complaint we should order an?
HCG level
Presumptive pregnancy signs:
Subjective
N/V, quickening
Probably pregnancy signs:
HCG positive
Hegar (6-8 weeks)- softening uterine isthmus
Chadwick (6-8)- blue discoloration of cervix
Goodell (4 wk) cervical softening
enlarged uterus
ballottement
Positive pregnancy signs:
Objective
Palpation of fetus
Ultrasound
Fetal heart tones
When is pregnant woman screened for gestational diabetes?
24-28 weeks
Group B strep?
34-36 weeks
How do we treat group B strep?
PCN
When do we give Rhogam?
RH negative mom at 28 weeks and within 72 hours postpartum
When do we do AFP testing?
16-20 weeks
If AFP level is elevated it may indicate?
Neural tube defects
If AFP level is lower it may indicate?
Down syndrome
Those with Down syndrome have an increased risk of?
Alzheimers disease
hypothyroidism
cervical spine instability- must be cleared by x-ray of cervical spine to play sports.
Placental abruption presents with:
Pain, uterus hard to touch, bleeding, typically only in 3rd trimester
Placenta previa presents with:
Light, painless bleeding
What antibiotic is used to treat mastitis?
Dicloxacillin
If does not work, refer for mammogram
What results on PAP do we refer immediately?
CIN 2 and CIN 3
Treatment for ASCUS under 25?
Follow up 1 year
Treatment for ASCUS over 25?
HPV reflex testing and if positive colposcopy
Treatment of genital warts?
TCA acid
Women with PCOS are at higher risk of:
Insulin resistance
HLD
Certain cancers
Milky discharge from breast that is typically associated with breast stimulation.
Galactorrhea
What labs do we check with galactorrhea?
Prolactin to check for prolactinoma
TSH/FSH
Refer out
Symmetrically enlarged, smooth, rubbery, enlarged prostate with symptoms of urinary frequency and hesitancy.
BPH
Treaments for BPH:
1st line- -zosins- terazosin, cardura, flomax
Take at bedtime due to risk of hypotension
2nd line- proscar to shrink prostate
Herbal supplement- saw palmetto
PSA cutoff to refer=
4
Scrotum is swollen and angry with a positive prehn sign.
Epididymitis
What is a positive prehn sign?
Relief of pain when testicle is lifted.
Treatment for epididymitis?
Under 35- Rochepin and doxy
Over 35- Cipro or levaquin
This has a negative prehn sign and absent cremasteric reflex?
Testicular torsion
Refer to ED
RBC casts in UA indicate:
Glomulonephritis
WBC casts in UA indicate
Pyelonephritis
UTI treatment:
Macrobid, bactrim, cipro
Avoid bactrim with?
Warfarin
Treatment for UTI in pregnancy?
Augmentin
With chronic UTIs we should get?
Kidney US
If on nitro can patient take viagra?
NO
Boggy, tender prostate with fever, chills, and suprapubic pain.
Prostatitis
Prostatitis treatment?
Under 35- Rocephin and doxy
Over 35- copra or levaquin
