Wooton -Monday Flashcards
Screening for 21-29
Cytology every 3 years
Screening for 30-65yo
Cytology and HPV every 5 years (cotesting)
Screening 65 and older
No screening following screening and no prior problems
Gold standard for diagnosis and tx planning
Colposcopy
Acetowhite changes
Abnormal cells
Digs into endocervix and needs to be done in the OR
Cold knife cone
Shaves off the top layer of the cervix, can be done in office
Loop electrode excisional procedure
Watery vaginal bleeding, poscoidal bleeding, intermittent spotting
Cervical ca
Careful in pts using the patch who are
> 198 lb
Can take up to a year to regulate after discontinued use
Depoprovera
Absence of menarchy by age of 13 or by the age of 15 with secondary sexual development
Primary amenorrhea
Median age of menarche is
12.4 yo
80% of adult menstrual cycles are
21-35 d long
Heavy flow >80cc or lasting longer than 7d
Menorrhagia
Greater than 80cc of menstrual flow is ass’d with
Anemia
Wt needed to start menarche
106lb (48kg)
Development of any sign of sexual characteristic prior to age 6 in AA and 7 in Caucasians
Precocious puberty
Development of secondary sexual characterics opposite of those of anticipated phenotypically sex
Heterosexual precosious puberty
Premature sexual maturation that is inappropriate for the phenotype of the affected individual
Isosexual precocious puberty
If isosexual precocious puberty isn’t treated it can result in
Inability to attain adult height of 5 ft
Tx of isosexual precocious puberty
GnRH
Positive PCT shows
Bleeding
Negative PCT is indicative of
Inadequate estrogenization
Elevated 17-hydroxyprogesterone
Nonclassical congenital adrenal hyperplasia
Absence of menarchy by age of 13 or by the age of 15 with secondary sexual development
Primary amenorrhea
Median age of menarche is
12.4 yo
80% of adult menstrual cycles are
21-35 d long
Heavy flow >80cc or lasting longer than 7d
Menorrhagia
Greater than 80cc of menstrual flow is ass’d with
Anemia
Wt needed to start menarche
106lb (48kg)
Development of any sign of sexual characteristic prior to age 6 in AA and 7 in Caucasians
Precocious puberty
Development of secondary sexual characterics opposite of those of anticipated phenotypically sex
Heterosexual precosious puberty
Premature sexual maturation that is inappropriate for the phenotype of the affected individual
Isosexual precocious puberty
If isosexual precocious puberty isn’t treated it can result in
Inability to attain adult height of 5 ft
Tx of isosexual precocious puberty
GnRH
Positive PCT shows
Bleeding
Negative PCT is indicative of
Inadequate estrogenization
Elevated 17-hydroxyprogesterone
Nonclassical congenital adrenal hyperplasia
