Reproductive Flashcards
Definition secondary amenorrhea
Absence menses 6 months
1st 2 labs to order if pt presents with secondary amenorrhea?
TSH
Prolactin
Most common type of endometrial CA
Adenocarcinoma
Lynch syndrome at risk for what?
Uterine CA and colon CA
1st 2nd and 3rd line tx for endometriosis?
1-NSAIDS, OCPs
2- GnRH agonist (leuprolide)
3-surgery
Using GnRH agonists for fibroids?
Can use to shrink the fibroid but as soon as you stop the medication it will regrow. Don’t use for more than 1 year due to risk of bone loss.
Atypical Glandular cells on PAP
if over age 35 needs an endometrial bx to r/o uterine ca
vaginal/vulvar CA usually what type?
Squamous
Primary vs secondary dysmenorrhea
Primary: no pathology, usually occurs 1 yr after menarche
Secondary: due to pathology, occurs several years after menarche
Diagnostic test to confirm menopause
FSH (elevated)
Most common cause of mastitis or breast abscess?
Staph, usually during breastfeeding
Fitz-Hugh-Curtis syndrome
Inflammation of the liver capsule from PID causing RUQ pain
Labs to evaluate fertility/ovulation
Luteal phase progesterone level (7d before menstruation). Less than 3, anovulatory. More than 3, recent ovulation.
If anovulatory, check TSH and FSH.
FSH: done on day 3 of menses. 2-10 is normal. Less than 2 is hypogonadism. More than 30 is premature ovarian failure.
Naegele rule
LMP -3 months + 7 days
Rh negative tx
Give rhogam at 28 weeks
Missed abortion
Os: closed
Products of conception: in the uterus
Inevitable abortion
Os: dilated and active bleeding
Products of conception in the uterus
Incomplete abortion
Os: dilated
Products of conception in the cervical canal
Complete abortion
Os: closed
Products of conception have been expelled
Threatened abortion
Vaginal bleeding and viable pregnancy. Unknown cause.
Tx abortion
Rh negative pts need Rhogam shot
Monitor or D&C or misoprostol if missed, invevitable, incomplete
Placental abruption risk factors
Trauma
Cocaine use
Sx placental abruption
3rd trimester bleeding with painful contractions
Complications shoulder dystocia
brachial plexus injury
clavicle fracture
asphyxia (occurs if provider cannot clear shoulder in 5 minutes
