WEEK 1-notebook notes

Question 1

Amenorrhea

Answer 1

Absence of menstrual flow

Question 2

Hypogonadotropic amenorrhea

Answer 2

Losing period due to stress/mental illness

Reflects a problem in the central hypothalamic pituitary axis

Question 3

Management for amenorrhea or hypogonadotropic amenorrhea

Answer 3

Medication, exercise, stress/coping mechanisms, calcium, vitamin D, potassium

Question 4

Cyclic peri-menstrual pain/discomfort

Answer 4

Discomfort during menstrual cycle

Question 5

Dysmenorrhea

Answer 5

Pain during/before menstrual cycle

Question 6

Primary dysmenorrhea vs. Secondary dysmenorrhea

Answer 6

Primary: associated w/ovulatory cycles; subsides with age, common in late teens/early 20s

Secondary: pain after 25 years, bloating or pelvic fullness

Question 7

Treatment for primary dysmenorrhea

Answer 7

Heat, pelvic rocking exercises, decrease salt and refined sugar, NSAIDS or oral contraceptives

Question 8

What is secondary dysmenorrhea associated with?

Answer 8

Adenomyosis, endometriosis, PID, endometrial polyps, fibroids

Question 9

Premenstrual syndrome symptoms

Answer 9

75% of women

Fluid retention, bloating, pelvic fullness, lower extremity edema, breast tenderness, weight gain, emotional changes, cravings, fatigue, backache, headache

Question 10

Management for premenstrual syndrome

Answer 10

Decrease caffeine, amenorrhea treatments

Question 11

Endometriosis

Answer 11

Presence and growth of endometrial tissue outside the uterus

Question 12

Chocolate cyst

Answer 12

Cystic lesion of endometriosis found in the ovary

Question 13

What happens during or after menstruation with endometriosis?

Answer 13

The tissue bleeds into adjacent organs causing an inflammatory response

Question 14

Signs/symptoms of endometriosis

Answer 14

Pain during intercourse, pelvic pain, pelvic heaviness, pain radiating to thighs, pain with bowel movements, cause cause impaired fertility

Question 15

Tx for endometriosis

Answer 15

NSAIDs, OCPs, GNRH agonists and androgen derivatives, surgery

Question 16

Oligomonnorrhea

Answer 16

Infrequent bleeding

Question 17

Alterations in cyclic bleeding

Answer 17

Oligomenorrhea
Hypomenorrhea
Menorrhagia
Metrorrhagia
Dysfunctional uterine bleeding

Question 18

Hypomenorrhea

Answer 18

Scanty at normal intervals

Question 19

Menorrhagia

Answer 19

Excessive bleeding

Question 20

Metrorrhagia

Answer 20

Bleeding that occurs between periods

Question 21

Dysfunctional uterine bleeding

Answer 21

Any form of uterine bleeding that is irregular in any amount, duration, or timing; estrogen is the most effective treatment

Question 22

What is the most effective treatment for dysfunctional uterine bleeding?

Answer 22

Estrogen

Question 23

What can infections cause?

Answer 23

Infertility, ectopic pregnancy, other complications

STI’s are from sexual contact

Question 24

Symptoms of chlamydia

Answer 24

Females: asymptomatic at times, dysuria, vaginal discharge, PID, inflammation of rectum/eyes, throat infection

Males: female symptoms, epididymitis

Question 25

Tx for chlamydia

Answer 25

Azithromycin 1g once

Question 26

Newborn issues with chlamydia

Answer 26

Neonatal conjunctivitis, pneumonia, low birth weight, preterm birth, still birth

Question 27

Symptoms of gonorrhea

Answer 27

Abnormal discharge, cervicitis, vaginal bleeding, enlarged lymph nodes, PID, mild sore throat, rectal inflammation/infection

Question 28

Tx for gonorrhea

Answer 28

IM does of Rocephin and azithromycin orally, erythromycin or tetracycline eye ointment for newborns

Question 29

What can gonorrhea cause in newborns?

Answer 29

Blindness

Question 30

Primary syphilis

Answer 30

Chancre at sight of entry and HIGHLY INFECTIOUS

Question 31

Secondary syphilis

Answer 31

2-6 months after Flu like symptoms, rash on palms and soles, condyloma lata present

Question 32

Early & late latent syphilis

Answer 32

Absence of clinical manifestations, deeply is positive

Question 33

Tx of syphilis

Answer 33

Penicillin IM

Question 34

Penicillin allergy

Answer 34

Small does given at hospital, constant monitoring

Question 35

Symptoms of HSV

Answer 35

Painful lesions with weeping discharge, fever, chills, dysuria, super infection, tenderness, tingling, itching, pain with lesions

Question 36

Outbreak triggers for HSV

Answer 36

Stress, menses, UV light exposure, illness, surgery, fatigue, trauma, immunosuppression, intercourse

Question 37

Tx for HSV

Answer 37

Antivirals, clean lesions 2x a day

Question 38

HSV pregnancy symptoms

Answer 38

Spontaneous abortion, preterm labor, microcephaly, low birth weight, neonatal HSV infection, C-section needed if lesions are present

Question 39

What can HPV cause?

Answer 39

Genital warts and cervical cancer