Well woman exam Flashcards
patient has not had menarche by age 16
primary amenorrhea
Concern with post coital bleeding
cervical cancer
concern with post menopausal bleeding
endometrial/uterine cancer
Midcycle ovulatory pain
Mittelschmerz syndrome
when does Naegeles Rule not work?
if they have irregular cycles
what is a pregnancy risk associated with daycare workers
CMV infection
Breast exam recommendation from ACOG and ACS
- every 1-3 years for women 20-39
- Every year with annual mammograms for women age 40 and over
Pelvic exam recommendation from ACOG
-beginning annual at age 21 if not indicated earlier by history
when does ACOG recommend an initial visit to OB/GYN for screening and provision of preventative health care services and guidance to take place?
b/t ages of 13-15
What immunizations should be given ages 13-18?
- Diptheria and reduced tetanus toxoids & acellular pertussis (Tdap) vaccine booster
- Hep B
- HPV
- Influenza
- MMR-if not previously
- Varicella
What do you add to the screening history when patient is 19-39?
urinary and fecal incontinence
What Labs do you get in ages 19-39?
- CERVICAL CYTOLOGY: 21-29 q 3 years w/ cytology alone; >30 q 3 years w cytology alone, co test with HPV q 5 years
- HIV
What vaccine for ages 19-39?
- diphtheria and Tdap (Tdap booster q 10 years)
- HPV if not previously and only ages 9-26
what is added to screening history for ages 40-64?
- pelvic prolapse
- menopausal symptoms
what labs will be order from ages 40-64?
- colorectal cancer . . .45 for AAs . . conoloscopy q 10 years
- lipid profile assessment q 5 years
- mammography yearly after 40
- TSH
- Diabetes
