Gynae Flashcards
menorrhagia
Tranexamic acid is the first-line non-hormonal treatment for menorrhagia
menorrhagia first line investigation from UBEX
B for bloods
Menorrhagia + pelvic pain first line igx after bloods
Transvaginal USS
Menorrhagia medical mgx 1st line if woman wants contraception
Mirena coil
menorrhagia recommended examination?
abdominal
the most common cause of pelvic inflammatory disease in the UK
Chlamydia trachomatis
pelvic inflammatory disease medical mgx
1st line
oral ofloxacin + oral metronidazole
pelvic inflammatory disease medical mgx
2nd line
intramuscular ceftriaxone + oral doxycycline + oral metronidazole
borderline abnormal cervical smear result
Next step?
HPV testing
suspected invasive cancer following cervical smear?
Next step - Where does the patient need to go?
urgent 2 week referral to the hospital for colposcopy
high-risk subtypes of HPV
16,18 & 33
vaginal thrush main presenting complaint?
cottage cheese like discharge
patient asks you what causes thrush
candida albicans
thrush local treatment
clotrimazole 500mg PV pessary
thrush oral treatments if woman not pregnant
include itraconazole 200mg PO bd for 1 day
thrush treatment if woman pregnant
clotrimazole pessary 500mg PV
2 main subheadings for the causes of amenorrhoea
primary
secondary
What is secondary amenorrhoea
woman used to have periods but they have stopped
What is primary amenorrhoea
woman has never had a period
why might a woman have never had a period
she does not have a womb
why might a person who outwardly looks female not have a womb or ovaries
she is actually a boy
androgen insensitivity
she is not fully female
turner 45 XO
what is the most common cause for secondary amenorrhoea
PCOS
A cause you must not miss for secondary amenorrhoea
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