rerpro Flashcards
Treatment of BV
Oral Metronidazole
Treatment of Trichomiasis
Oral Metronidazole- treat partner too
Candidiasis Treatment
Clotrimazole or fluconazole-oral
Candidiasis treatment if pregnant
Clotrimazole
gonorrhoea Treatment
ceftriaxone IM
Gonorrhoea buzzwords
purulent discharge, chocolate agar
Chlamydia buzzwords
asymptomatic, post coital bleeding, clear white penile discharge
gonorrhoea Treatment if needle phobic
oral cefixime 400mg (single dose) + oral azithromycin 2g (single dose)
Chlamydia treatment
Doxycycline- 7 days
Chlamydia treatment if pregnant
Azithromycin, erythromycin or amoxicillin
what organism is BV?
Gardnerella vaginalis
what organism is syphillis
Treponema Pallidum
whats associated with syphyilis
painless ulcer
Strawberry cervix?
trichomoniasis
frothy yellow green discharge
trichomoniasis
fishy odour?
bacterial vaginosis
vulvovaginitis
trichomoniasis
Clue cells
bacterial vaginosis
cottage cheese discharge
candidiasis
chancre lesion
primary syphillis- treponema pallidum
rash on palms
secondary syphillis- treponema padllidum
condyloma late
secondary syphillis- treponema padllidum
tertiary syphillis
gummas
tertiary syphillis
aortitis
tertiary syphillis
argyll Robertson pupil
treatment of syphillis
IM benzathine penicillin or doxycycline
what is jarisch herxheimer reaction
fever rash, tachycardia after treatment- NOT Anyphylaxis (no wheeze or hypotension)
what causes genital warts
HPV 6+11
treatment of genital warts- NON KERATINISED
topical podophyllum
treatment of genital warts- KERATINISED
cryotherapy
treatment of genital herpes
Acyclovir oral
what organism causes laymphogranuloma venereum?
Chlamydia Trachoma’s
Laymphogranuloa venereum associated with?
bloody stools, rectal pain, discharge, tenesmus- IBS type picture
Laymphogranuloa venereum treatment
doxycycline
in IVf what cell stage is the embryo transferred into the uterus
day 5 blastocyst
treatment of hyperemesis
cyclizine of prochlorperazine
molar pregnancy
snowstorm on US
whats a partial molar pregnancy?
2 sperms fertile normal ovum so theres 3 sets of chromosomes and a fetus present
what is a complete molar pregnancy?
empty ovum gets fertilized by 2 sperm
“Grape like appearance “
hydatidiform mole- complete mole
most common site of ectopic pregnancy
ampulla
whats the most common cervial cancer
squamous cell
what cells do hpv infect in the cervix
stratum basale
schiller Duval bodies
yolk sac tumour
increased afp
yolk sac tumour
fried egg appearance
dysgerminioma
hair bone and teeth growing in uterus- may have hyperthyroidism
teratoma
meigs triad
fibroma, ascites, plural effusion
whats asscoiated with meigs triad?
fibroma- ovary
pulling senstation on pelvis
ovarian fibroma
reinke crystals
sertoli- ledig tumour
what ovarian tumour produces androgens
sertoli- ledig
what tumour secretes oestrogen?
granulosa cell tumour
call- Exner bodies
granulosa cell tumour
what tumour metastases from a GI tumour
Krukenberg tumour
when does sexual differntiation occur?
after 6/7 weeks
what do the mesonephric ducts (wolffish) give rise to?
epididymis, vas deferens, seminal vesicle
what do the paramesonephric ducts give rise to?
uterus, fallopian tubes, cerix, upper 1/3 vagina
what gene on the Y chromosome causes male sex
SRY
what does the SRY gene cause
causes sertoli cells to make Mullein inhibiting factor/ AMH
exercise-induced oxegen desaturation
HIV: Pneumocystis jiroveci pneumonia
treatment of Pneumocystis jiroveci pneumonia
co-trimoxazole
IV pentamidine in severe cases
where do testes lympatic drain to
para aortic nodes
what type of herpes causes Kaposi’s sarcoma
human herpes virus 8
where does the scrotum drain its lymph to
inguinal lymph nodes
what week does BHCG peak in pregnancy?
7
what is Vasa Praevia
where unprotected blood vessels from the baby’s placenta or umbilical cord cross or run very close to the cervix
sigin of urterine rupture?
loss of fetal station, tearing/popping sensation
sign of shoulder dystocia
turtle sign
complication of shoulder dystocia?
erbs palsy
what nerves are effected by erbs palsy?
C5-C6
