Reproductive Medicine Flashcards
HCG, TSH, Prolactin, Progesterone Challenge
Amenorrhea
Anovulation, coagulation d/o, OCP
Dysfunctional uterine bleeding
Risk: Obesity, anovulation, nulliparity, FHx, post-menopausal bleeding = bx
Endometrail stripe > 5mm
Endometrial CA
Chocolate cyst, chronic pelvic pain, laparoscopy, OCP, leuprolide
Endometriosis
Estrogen/progesterone dependent, shrink at menopause
Leiomyoma
Early satiety and bloating, complex cyst, CA-125, BRCA-1/2
Ovarian CA
PAP > 21 y/o every 3 years, HPV 16 and 18
Cervical cancer
Clue cells
Bacterial Vaginosis
Green frothy discharge, strawberry cervix
Trichomoniasis
Cottage cheese budding yeast, hyphae
Candidiasis
51 y/o, Elevated FSH, HRT: Give progesterone to protect pts with uterus–no unopposed Estrogen!
Menopause
Mammogram > 50 y/o, BRCA-1/2, Bx, Positive receptors = Tamoxifen
Breast CA
Prolactin
Galactorrhea
Chlamydia and gonorrhea, cervical motion tenderness, pelvic pain
Pelvic inflammatory disease
<20 weeks, vaginal bleeding, pelvic pain
Abortion