Well Woman Exam I Moulton Flashcards
23 yo delivered 39 week male infant and suffered 2 SAB at 10 and 12 weeks. She has one living childe. What are her G and P’s?
G3P1021
When do you start breast exams?
q1-3 years beginning at 20 yo
Immunizations in ages 19-39?
Tdap booster q 10 yrs
HPV vaccine (9-45yo)
Screening for ages 40-64?
- Fhx
- Tobacco EtOH use
- Pelvic Prolapse sx
- Menopausal sx
40-64 labs done?
- Cervical cytology
- Colorectal screening
- HIV
- Lipid profile assessment q 5 yrs at 45 yo
Vaccines for 40-64 yo?
- Tdap
- Flu
- MMR if not already immunized
- Varicella
- HPV
*
Most common causes of amenorrhea?
pregnancy and menopause
Naegeles rules of EDC?
Subtract 3 months from LMP and add 7 days
When does ACOG recommend the initial visit to OB/GYN for screening and provision of prevenative health care services?
13-15
When do you do breast exam?
20 yrs old every 1-3 years
When do you start lipid profile assessments?
q 5yrs at 45 yo
Mammography?
q 5 yrs after 40 yo
When do you do bone mineral density screening?
65 yrs and older, in the absense of new risk factors do NOT screen more frequently than q 2 yrs
When would you do a BMD screening before 65?
- hx of fractures
- body weight <127 lbs
- meds or diseases that cause bone loss
- current smoker, alcoholic, RA
yellowish green discharge and punctate hemorrhages on ectocervix is noticed with what infection?
Trichomonas