STI and GYN Flashcards
Trichomonasis
lower abdominal pain, green-yellow discharge that can be frothy and malodorous, and pain and itching around the vagina.
Strawberry cervix
BV
gray or milky discharge with fishy odor
Clue cells
vaginal pH >4.5
Yeast Infection
Cottage cheese like discharge
Hyphae
Endometriosis
Pain during intercourse and defecation
Syphillis Rash
slightly nontender raised lesion with a punched-out appearance
UTI Children
abdominal pain, urinary frequency, and dysuria. Often fear or urinating due to pain.
Epidymitis Causes
Older adult = E. Coli
Younger Adult = STI (Chlamydia)
ASCUS on PAP (<30 year old)
HPV test. If HPV positive, consider colposcopy. If negative, repeat PAP in one year
Herbs for menopause
Soy isoflavones
Evening primrose
Black cohosh
(be careful with estrogen meds)
Chlamydial Treatment
Doxycycline 100mg bid for 7 days
or
Azithromycin 1g once
or
Amoxicillin for pregnancy
Gonorrhea Treatment
Rocephin IM
Bactrim side effect of note
Stevens Johnson / TENS
Mastitis v. Inflammatory Breast CA
Both have swelling, redness, tenderness.
Only mastitis has fever
BV on wet mount
blurred edge epithelial cells (clue cells)
Branching or budding pseudohyphae on wet mount
candiadisis
Trich on wet mount
Mobile organisms with flagella
Pregnancy weight gain
1-5 in first trimester
Then 1 lb per week in second/third
Genital herpes and pregnancy
Acyclovir at 36 weeks until delivery if there are any herpes lesions at any point during pregnancy
Fibroadenomas
Fibroadenomas (A) are characterized by a well-defined, painless, mobile breast mass. They are the most common type of breast mass in adolescents and young adults.
condylomata acuminata
multiple skin-colored, verrucous papules and plaques on her groin and perineum. Imiquimod (Zyclara) to treat (or cryotherapy)
Lipid screening recommendations
Every 5 years unless risk factors are present
Highest risk factor in women for heart disease
early menopause before the age of 40 with no estrogen replacement therapy
Orbital Cellulitis
orbital cellulitis affects the extraocular muscles and periorbital fat
ocular pain and eyelid erythema and swelling, but only orbital cellulitis causes painful eye movements
IV ABX!
