GYN Flashcards
What is the patho of stress incontinence?
Symptom Hallmark identifier?
Physical exam findings, 2?
Treat?
Weak pelvic floor
Sneeze and pee with no urge
Cystocele and q tip test
Strengthen pelvic floor, pessary, and surgery
Patho of overactive bladder?
Hypertonicity of the detrusor, they are random
3 symptoms to remember about overactive bladder?
How to diagnose overactive bladder?
Urge, nocturnal peeing, and leaking if you cant get to the bathroom
Cystometry
How to treat overactive bladder?
Antispasmodic
Oxybutynin
Patho of overflow or neurogenic bladder?
Absent of detrusor contraction.
3 conditions causing neurogenic bladder?
MS, trauma, and antispasmodic
3 symptoms identifying neurogenic bladder?
No urge, regularly leaks when the bladder is overflowing causing leak, and nocturnal problems
Big time clinical finding on physical exam?
How to diagnose neurogenic bladder?
How to treat?
Distended bladder
Cystometry
Bethanecol
Patho of irritative bladder?
Inflammation of bladder due to stones, cancer, UTI
3 abx for UTI?
Amoxillin, nitro, or tmpsmx
Clinical identifier of fistula?
Diagnosis?
Treatment?
Continuous leak
Tampon test, inject die into the urethra into the bladder and see where it ends up.
Resection.
What is the 5 step process to abortion?
IUP, threatened abortion, inevitable, incomplete, complete
Contents passed, cervical os and U/S of IUP?
Nothing
Closed
Live baby
Contents passed, cervical os and U/S of threatened abortion?
Nothing but little blood, closed, live baby
Contents passed, cervical os and U/S of inevitable?
Nothing, open, dead baby
Contents passed, cervical os and U/S of Incomplete?
Yes, open, retained parts
Contents passed, cervical os and U/S of complete?
Yes, closed, nothing
Contents passed, cervical os and U/S of missed abortion?
Treat?
Nothing, closed, dead baby
Misaprostol, oxytocin, D and C
What is the next step when patient presents with UPT positive and vaginal bleeding?
Transvaginal US
If the transvaginal US shows IUP, what are the 3 options?
Molar pregnancy, abortion, normal pregnancy
How to treat ruptured fallopian tube ectopic pregnancy?
No rupture?
Another option and 4 criteria to use it?
Saplingectomy
Salpingostomy
Mathyltrexate, BHCG less than 5000, baby is less than 3.5 cm, no folate on mom, no heart sounds.
What happens if you don’t see anything on transvaginal US? What do you do?
Check the beta quaint. If its greater than 1500 (2000) and you don’t see anything. Treat it as ectopic. If its less than 1500 (2000) its too soon to tell and you have the lady come back in 48 hours and check the beta quaint
What are the two options when she comes back 48 hours later?
If it double, IUP
If it fails to double, ectopic
