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