Paediatrics and Adolescent Gynaecolgoy Flashcards
what is gillick competence
children under 16 can consent if they have sufficient understanding and intelligence to fully understand what is involved
if they do not pass this the parental guidance is needed
what is Fraser guidline
contraceptive advice to under 16 years of age
must understand the advice
what are key components in history adolescent gynae
age of menarche cycle pain sexual activity contraception weight gain/loss exercise
what are parts of the adolescent gynae examination
breast
general
gynae
what is vulvovaginitis
vulval irritation
3-7 age
porr hygiene, bubble baths
what are labial adhesions
joining of the labia
thin membranous line in the the mid line where the tissues fuse
what is menorrhagia
heavy bleeding
irregular bleeding
how do you treat menorrhagia
antifibrolynitics-tranaxemic acid
COCP
what Is dysmenorrhea
pain during menstruation which can have an impact on day to day life
how do you treat dysmenorrhea
antiprostaglandin- mefenamic acid
COCP
what is endometriosis
growing of the endometrium on other pelvic organs such as ovaries or fallopian tubes
what is used as treatment for endometriosis
minera
COCP
hysterectomy
what are the differential diagnoses of vaginal discharge
sexual abuse yeast infection BV vuvlovaginosis chlamydia
what is primary amenorrhea
failure to start menstraution by the age of 16 in the presence of normal sexual characteristics
what is secondary amenorrhea
periods stop for >6 months
