GYN Flashcards
- Copious malodorus, frothy, yellow/green discharge
- Strawberry Cervix
Trich
Tx: Metronidazole
- Copious, thin, watery, grey/white, fishy discharge
- Whif test. C
- Clue Cells
BV
Tx: Metronidazole
-Burning, itching, dysuria, thick, curdlike discharge
Hyphae and yeast (spaghetti and meatballs)
Vaginal Candidiasis
Tx: Fluconazole
- Very sensitive skin, highly pruritic, well circumscribed plaques (no scale)
- Long term manifestation of atopic Derm 2/2 repeated rubbing/scratching
Lichen Simplex Chronicus
Tx: Stop itch/scratch cycle. +/-steroids
Itch, wrinkled, white plaques,, lichenification, hyperkeratosis, dyspareunia
Lichen Sclerosis
-Chronic inflammatory dermatosis of anogenitals
MC in Women
Marginated, painful white plaques, shiny, flat topped papules
4Ps: Papule, pruritic, polygonal, purple
- Lichen Planus
- Chronic inflammatory itch disease of skin. Less common vulva.
- Tx: Steroids. Tacrolimus.
-Arise from NL ovarian function–>Mature folic that fails to rupture
-Sx: Unilateral LQ pain (p rupture), +/- asx, mobile adrenal mass(?)
Dx: US
Tx: Most resolve. OCP for recurrent cysts to prevent ovulation
(Functional) Ovarian Cysts
-Highest Mortality GYN CA, 2nd MC p endometrial
-Risks: family, # of ovulatory cycles, BRCA
-Protective: OCP, parity
-Sx: Asx until late, Abd fullness/distention, bad/abd pain,mass, Sister Mary J’s nodes=umbilical lymph mets
-Dx: Bx, TVUS
Tx: Surg
Ovarian CA
- 90% benign.
- Seen in reproductive ages–>risk to transform increases with age
- Often removed 2/2 risk to evolve/torsion
Ovarian Tumors
- Idiopathic endocrine syndrome characterized by 1) amenorrhea; 2) obesity; 3) hirsutism
- MC cause of androgen excess
- Thought d/t pituitary hypothalamic dysfunction & insulin resistance
- Increases risk for endometrial hyperplasia 2/2 unopposed estrogen
- Dx: “string of pearls/oyster ovaries” on US, increased androgens, lipid abnormalities, insulin resistance
- Tx: weight management, OCPs (lower androgens), metformin
PCOS
