OB/Women's health/uro Flashcards
Infertility w/u with NORMAL periods
Check day 21 (luteal phase) progesterone
- >5 confirms ovulation –> can do hysterosalpingography to check for tube patentcy
- <5 suggest annovulation –> check TSH, PRL, FSH
FBG goal gestational dm
<95
2hr PP <120
1hr PP <140
tx of vasomotor sx of menopause
combined est/prog
bio-identicals not regulated
T not FDA approved– but maybe helpful for libido
Dx/tx of epididymitis
-gradual pain and
swelling over 1-2 days
-Phren sign= relief of pain with elevation of testicle
-Inc blood flow on US
TX:
-Ceft + doxy (GC/CT moost common cause ages <35)
- Levo if >35
TSH range in pregnancy
LOW. hCG has TSH like activity. Leads to slightly inc fT4 in early pregnancy. hCG peaks 7-13 weeks
back up contraception after IUD
none if within 7 days of period
7 days if after 7 days from period
failure rate of contraceptino
OCP- 9%
IUD- 0.2%
Depo- 6%
Condoms- 18%
age/crit for evaluation for endometrial CA in AUB
> 45
hx of unopposed estrogen
Can start with TVUS, then EMBx
ovarian cyst management
-symptomatic, non-simple features, >10cm, or persistant after 12 weeks should refer to OB
- If simple, <10 cm, re-image in 8-12 weeks
- CA125 is often positive in young women
Management of testicular mass after orchiopexy
Hx of orchiopexy AFTER puberty for cyrptorchidism is esp high risk for testicular cancer.
If hypoechoic mass, bx is contraindicated due to damage of lymphatic drainage
Tx: referral to urology for radical inguinal orchiectomy –> dx and tx
Age that OCP are CI in smokers
> 35
Indications for cystoscopy in w/u of hematuria
-Asymptomatic microhematuria is >3RBC on hpf
-Rule out: vigorous exercise, viral illness, trauma, infection
Testing for DM postpartum after GDM?
test w/ 2hr PP at 4-12 weeks post partum to detect development of DM
LH/FSH in POI
HIGH. Low estrogren states triggers increase in LH/FSH
Normal FSH/LH in someone who can’t concienve. Consider…?
outflow tract obstruction
