Gyn 1 Flashcards
Most common lymphoma?
Diffuse large b cell
Tanner staging made easy?
Stage 1 is prepubertal, Stage 5 is normal. Stage three is in the middle then stage 2 and 4 can be filled in
PUbic hair last step in Tanner staging?
5 is to the thigh
What is central precocious puberty?
Early hypothalamic puberty
What is heterosexual precocious puberty?
virilization for girls. Maturing like other gender
From pseudo precocious puberty (not following the axis)
DHEAS is only made by adrenals
oh ok
Tx central precocious puberty?
continous GnRH analog to stop the hypothal pit track
FSH causes release of what from the follicle?
estradiol (makes sense for feedback)
Perimenopause can have fluctuant flow. Sometimes worse than others, but if it is worse, you still need to work it up
Endometrial biopsy
Oligomenorrhea in younger than 45 workup?
TSH, beta hCG, prolactin, FSH
too see if menopause or something else
Can you use topical estrogen in any woman who had history of estrogen sensitive cancer?
NO. DUH!
Hot flash tx?
Wellc an do temporary HRT, but not long term
SNRIs: venlafaxine, desvenlafaxine
Liver issue with OCP?
Hepatic adenomas. SO ANY HISTORY OF liver issue can’t have OCP
Reversible cholestasis
Budd Chiari
Hepato carcinoma
Guiness Coronas and PBRS induce chronic alcoholism
Griseofulvan Carbamazapine Pheny Barbs Rifampin St Johns Wart Chronic alcoholism
Progesterone only pill issue if miss a day?
WONT WORK, MUS TAKE AT SAME TIME EVERY DAY
What is Plan B?
Levonorgestrel no estrogen. Prevents OVULATION!!! and inhibits fertilization by thickening mutcous
What is mifepristone?
Progesterone antagonist
What age d you start to work up if patient has never had any puberty signs?
Age 13
Secondary amennorhea lab?
B hCG THS and free T4 Prolactin FSH and LH Check for testosterone and DHEA
Progesterone challenge tells you what?
Tells you if estrogen is the problem or not.
If bleed, it is anovulatory but estrogen is being made
If no bleed, she is likely not making estrogen or there is outflow obstruction
When do you do estrogen-progesterone challenge?
To test outflow tract after no let down after progestin challenge
What is abnormal mullerian development?
No development of internal genitalia and presents as primary anovulation
Patient has amenorrhea, absent secondary sexual characteristics and anosmia?
Kallman syndrome
