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
Fallopian tube (Ampulla), positive pregnancy test, vaginal bleeding, pelic pain, cervical motion tenderness, intrauterine pregnancy seen when HCG >2,000
Ectopic Pregnancy
HCG >100,000, snow storm pattern
Molar pregnancy
<20 weeks
chronic hypertension
> 20 weeks, no end organ damage or proteinuria, labetolol and methyldopa
Gestational HTN
Preeclampsia + seizure, magnesium
Eclampsia
Painless 2nd and 3rd trimester bleed, no digital or transvaginal ultrasound
Placenta previa
Uterine Atony
Postpartum hemorrhage
(occurs when the uterus fails to contract after the delivery of the baby, and it can lead to a potentially life-threatening condition known as postpartum hemorrhage)
<37 weeks
PROM (Premature Rupture of Membranes)
Painful 3rd trimester bleed
Placental abruption
