Gynecology Flashcards
Ulcerative lesions in STDs
Number of lesions and are they painful?
LGV herpes chancroid syphilis granuloma inguinale
LGV- painless single papule/pustule/vesicle
herpes-multiple painful vesicles
chancroid- 1-5 painful papule/pustules
syphilis-painless single papule
granuloma inguinale- painless single or multiple
which ones have firm induration? LGV herpes chancroid syphilis granuloma inguinale
syphilis and granuloma inguinale
type of discharge (purulent, serous, or rare)?
LGV herpes chancroid syphilis granuloma inguinale
LGV- variable herpes- serous chancroid-purulent/hemorrhagic syphilis- serous granuloma inguinale-rare, hemorrhagic
How to make the diagnosis?
LGV herpes chancroid syphilis granuloma inguinale
LGV- culture PCR
herpes - culture PCR
chancroid- culture PCR–> school of fish
syphilis - dark field, immunoflourescence PCR
granuloma inguinale- giemsa staining–>donovan bodies
vaginal lymphatics
upper third
middle
lower
upper third - iliacs
middle- hypogastrics
lower-inguinal
vaginal arterial supply
upper third
middle
lower
upper third - cervical branch of uterine
middle - inferior vesical
lower - internal pudendal and middle hemorrhoidal
levator ani muscles
iliococcygeus
pubococcygeous
puborectalis
IC PR from my PC.
how to dx molluscum contagiousum?
Rx?
wright’s or giemsa stain
curet, then treat base with monsels or 85% TCA or cautery or cyro
Rx for each
LGV herpes chancroid syphilis granuloma inguinale
LGV - doxy 100 BID x 21 days herpes - acyclovir chancroid - erythromycin base x 7 days syphilis - PCN G (tetracycline if allergic, or desensitize) granuloma inguinale (azithro)
how long will treponemal test remain positive?
forEVER
first line treatment for PMS
SSRI
which of the following is NOT associated with PCOS?
DMII CAD Non-alcoholic fatty liver disease OSA metabolic syndrome
CAD
gold standard for BV?
gram stain, but amsel criteria is more efficient amine whiff test clue cells >20% thin gray, white discharge pH >4.5