OB AND WOMENS HEALTH Flashcards
Routine immunizationsindicated during pregnanacy include…
inactivated influenza virus and tdap
TDAP at 27-36 weeks
In pt’s w/ dx of osteoperosis, what is first line tx?
Aside from vitamin supplementation, you want them on alendrone/a bisphosphonate to reduce further bonne loss.
Binds hydroxyapatite to inhibit osteoclast bone resorption.
When do we give 3 dose regimen vs 2 dose regimen for HPV?
3 dose: over 15
2 dose: under 15
_________________________is chosen to tx pelvic organ prolapse only in elderly women who cannot tolerate long surgeries because of their comorbid state, have severe disease, and do not wish to have future vaginal intercourse.
Colpocleisis obliterative procedure
For mild pelvic organ prolapse, start with the most conservative therapy which is
pelvic floor muscle training and pessaries. Augment with topical estrogen.
_________________________ is the appropriate surgery for a midline defect of the anterior vaginal wall resulting in a cystocele for pts who fail conservative measures.
Anterior colporrhaphy
Difficulty initiating or completely emptying bladder should raise concern for ________ in men and ________ in women
BPH in men and cystocele in women
Anterior colpography is for ____________________ and posterior colpography is for __________________
cystocele and rectocele
we dont use mesh is these
risk factors for uterine organ prolapse
obesity
copd (raises iap)
multiparous
low E
ctd like ehlers danlos
Pelvic floor relaxation leading to incontinence is coined what?
Stress incontinence
“sneeze and pee”
First line therapy for stress incontinence?
Pelvic floor pt!
can consider pessaries
can consider sling
Overactive detrussor causing pt to have sudden need to pee
urge incontinence
How to we dx urge incontinence?
cystometry and hx
How to we treet urge oncontinence?
Oxybutinin (M3,ach antag)
Mirabegron (B3 agonist)
Caused by hypotonic detrusor w/active voiding reflex and no sensation/pain w/full bladder
overflow incontinence,
may be seen in quadriplegic
