WEEK 1-notebook notes Flashcards

1
Q

Amenorrhea

A

Absence of menstrual flow

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2
Q

Hypogonadotropic amenorrhea

A

Losing period due to stress/mental illness

Reflects a problem in the central hypothalamic pituitary axis

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3
Q

Management for amenorrhea or hypogonadotropic amenorrhea

A

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

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4
Q

Cyclic peri-menstrual pain/discomfort

A

Discomfort during menstrual cycle

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5
Q

Dysmenorrhea

A

Pain during/before menstrual cycle

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6
Q

Primary dysmenorrhea vs. Secondary dysmenorrhea

A

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

Secondary: pain after 25 years, bloating or pelvic fullness

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7
Q

Treatment for primary dysmenorrhea

A

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

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8
Q

What is secondary dysmenorrhea associated with?

A

Adenomyosis, endometriosis, PID, endometrial polyps, fibroids

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9
Q

Premenstrual syndrome symptoms

A

75% of women

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

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10
Q

Management for premenstrual syndrome

A

Decrease caffeine, amenorrhea treatments

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11
Q

Endometriosis

A

Presence and growth of endometrial tissue outside the uterus

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12
Q

Chocolate cyst

A

Cystic lesion of endometriosis found in the ovary

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13
Q

What happens during or after menstruation with endometriosis?

A

The tissue bleeds into adjacent organs causing an inflammatory response

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14
Q

Signs/symptoms of endometriosis

A

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

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15
Q

Tx for endometriosis

A

NSAIDs, OCPs, GNRH agonists and androgen derivatives, surgery

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16
Q

Oligomonnorrhea

A

Infrequent bleeding

17
Q

Alterations in cyclic bleeding

A

Oligomenorrhea
Hypomenorrhea
Menorrhagia
Metrorrhagia
Dysfunctional uterine bleeding

18
Q

Hypomenorrhea

A

Scanty at normal intervals

19
Q

Menorrhagia

A

Excessive bleeding

20
Q

Metrorrhagia

A

Bleeding that occurs between periods

21
Q

Dysfunctional uterine bleeding

A

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

22
Q

What is the most effective treatment for dysfunctional uterine bleeding?

A

Estrogen

23
Q

What can infections cause?

A

Infertility, ectopic pregnancy, other complications

STI’s are from sexual contact

24
Q

Symptoms of chlamydia

A

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

Males: female symptoms, epididymitis

25
Q

Tx for chlamydia

A

Azithromycin 1g once

26
Q

Newborn issues with chlamydia

A

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

27
Q

Symptoms of gonorrhea

A

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

28
Q

Tx for gonorrhea

A

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

29
Q

What can gonorrhea cause in newborns?

A

Blindness

30
Q

Primary syphilis

A

Chancre at sight of entry and HIGHLY INFECTIOUS

31
Q

Secondary syphilis

A

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

32
Q

Early & late latent syphilis

A

Absence of clinical manifestations, deeply is positive

33
Q

Tx of syphilis

A

Penicillin IM

34
Q

Penicillin allergy

A

Small does given at hospital, constant monitoring

35
Q

Symptoms of HSV

A

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

36
Q

Outbreak triggers for HSV

A

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

37
Q

Tx for HSV

A

Antivirals, clean lesions 2x a day

38
Q

HSV pregnancy symptoms

A

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

39
Q

What can HPV cause?

A

Genital warts and cervical cancer