passmed gynae Flashcards
vaginal atrophy
most common cause of vaginal atrophy
pruritus vulvae
most common cause
contact dermatitis
atopic dermatitis
benign epithelial tumour
serous cystadenoma
bilateral in 20%
cervical ectropion
ectocervix has a transformation zone stratified squamous epithelium meets columnar
elevated oestrogen results in larger area of columnar epithelium
menorrhagia first line management?
intra-uterine system
mirena
menorrhagia
sub fertility and abdominal mass
fibroids
also can present with symptoms like dysuria
hydronephrosis
constipation
sciatica
what is pruritus vulvae?
vaginal itching
irritant contact dermatitis
atopic
seborrhoeic dermatitis
lichen planus
lichen sclerosus
psoriasis
management of hyperemesis gravidarum?
antihistamines
cyclizine
diagnosing hyperemesis gravidarum
5% pre pregnancy weight loss
dehydration
electrolyte imbalance
mx of hyperemesis gravidarum
second line
oral ondansetron
metoclopramide (but for less than 5 days)
PMS
mx?
mild
moderate
severe?
lifestyle
COCP- yasmin
drospirenone 3 mg and ethinylestradiol 0.030 mg
SSRI - fluxetine
during luteal phase
when in ectopic pregnancy management do you need to do surgical management?
> 5000
size >35mm
when is methotrexate used in ectopic management?
when b hCG is <1500
urge incontinence first line
bladder retraining
urge happens due to overactivity of detrusor muscke > uninhibited and inappropriate contractions of the bladder
oxybutinin is what type of drug?
when is it prescribed
antimuscranic
second line for urge incontinence
