Ovaries/Cervical, STI Flashcards
Follicular cyst is due to
ovulation
ovarian cyst diag?
US, r/o preg
ovarian cyst tx?
nsaid, repeat US, surgery
<4mm = Observation
>6 mm laparascopy
ovarian cyst can lead to?
ovarian torsion if cyst is >5cm - Diag Lap, surgery to untwist
Ovarian cancer risk?
high number of ovulation,
Brca1/2,
Lynch synd
Ovarian cancer prevention? diag?
OPC
US/CT
Sister mary joseph nodes is
at umbilicus, ovarian cancer
Ovarian cancer tumor marker
CA-125
Ovarian cancer tx?
TAH-BSO, chemo, oophorectomy (if child bearing)
PCOS triad?
polycysts, anovulation, hyperandrogens
is insulin resistant
PCOS
acanthosis nigricans, obese, US - string of pearls
pocs
pcos diag?
test, dheas, higher LH
pcos tx?
OCP, antiandrogens, clomiphene, metformin
cervical cancer scrn
21-29: q3
30-65:q3 OR pap + HPV 5 years
ASC-US HPV positive, now what?
HPV positive?
<25- repeat pap in 1 year
25+ colposcopy
LSIL positive?
25-29 = colposcopy + biopsy
30+ HPV += colpo
30+ HPV - = repeat cytology 1 year
HSIL positive?
Colpo all ages
After colpo, how do you treat transformation zone?
CIN 1-3= excision
Which HPV test is worse 16 or 18?
16
risk and preve of HPV?
Sex, HPV vaccine
tx for Gonorhea, chalm, syph, trichomonas.
Ceft, azyth, PCN, Metronidazole
pID is seen with what signs?
PID diagnoses?
Chandelier sign,
Ultrasound - prevent tubo abscess
Tx and complications of PID are?
Fitz hughe Curtis and infertility
Tx= ceftriazone and dox
How do you diag PID
Pelvic US
Complication is infertility and fitz Hugh Curtis
