Gyne Flashcards
Diagnostic criteria for premenstural syndrome
Affective and somatic symptoms 5 days before in each of the 3 prior menstrual cyclces
6 Affective symptoms of PMS
Depression
Anger
Irritability
Confusion
Anxiety
Social withdrawal
4 Somatic symptoms of PMS
breast tenderness
bloating
headache
swelling of extremities
Premenstural dysphoric disorder definition
severe PMS lasting for 12 months
9 characterestics of premenstural dysphoric syndrome
sadness
emotional lability with frequent tearfulness
loss of interest in ADL
decreased concentration
fatigue
insomnia
overwhelmed
Gold standard for investigation of AUB
Hysterosocopy with DNC
First line treatment of menorrhagia with acute flooding
TXA 10mg IV Q6
Second line treatment for bleeding
NES 5-10mg Q4 til bleeding stops then 5mg BID x 14 days
MPA 10mg Q4 until bleeding stops for 7 days then 20mg OD x 21 days
COCP until bleeding stops
Best next step of management for simple cysts <10cm
Repeat ultrasound in 6-12 weeks
Most common cause of gyne cancer deaths
Ovarian cancer
Most common type of ovarian cancer
Epithelial
Age group of ovarian cancer
50-60
Most common presentation of ovarian CA
Abdominal mass or ascites
5 risk factors for cervical CA
All women who are or has ever been sexually active
Early age at first sexual intercourse
Multiple sexual partners
Genital warts / HPV
Cigarette smoking
Amsels criteria
3/4
ph > 4.5
whiff test +
clue cells, thin white discharge
First line medications of Bac Vag
Clindamycin
Second line treatment for Bac Vag
Metronidazole
SFX NSDAIS in preganancy
- avoided especially at 32 AOG if used >48 hours
- Premature closure of ductus arteriosus
oligohydramnios
Gold standard for diagnosis of trichomonas
culture
Gold standard for diagnosis of candida
Gramstain or wet mount
DOC for premenstrual dysmorphic disorder
Fluoxetine
TAHBSO + clear fluid discharge in the vagina, continuous, no odor or itching
Reactionary fluid from the vaginal wall
Reactionary fluid from the vaginal wall up to how many weeks post op?
6 weeks
TAHBSO + thick whitish greenish or greyish odour
Localized vaginal infection
S/P TAHBSO + Painless continuous urinary leakage from the vagina
Vesicovaginal fistula
S/P TAHBSO + Intermittent positional leakage
Ureterovaginal fistula
