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67 Cards in this Set
- Front
- Back
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Cauliflower-like masses on labia and in vestibule =
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Condyloma Acuminatum
(Genital Warts) |
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Condyloma Acuminata = what bug
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HPV
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White, dome-shaped lesions
Central Umbilication with thick creamy core even seen on the eyes = |
Molluscum Contagiosum
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Molluscum Contagiosum
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Poxvirus
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Flat round/oval papules overed w/ Gray exudate =
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Condyloma Latum
SECONDARY Syphilis |
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Condyloma Latum = what bug
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Syphilis
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Firm, PAINLESS Ulcer that went unnoticed and was inside =
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Chancre, PRIMARY syphilis
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Small red vesicles that are PAINFUL and ITCH =
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HERPES Lesion
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Herpes recurs as a small localized patch where?
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Vulva
Perineum Vagina Cervix |
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Hot, red, tender, flctuant swelling that drains pus near the Labia majora =
What bug? |
ACUTE Bartholin Gland inflammation
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NON-tender cyst on the Labium =
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CHRONIC Bartholin Gland inflammation
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Herniation of the Anterior vagina =
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Cystocele
may cause Urinary Stress Incontinence |
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Herniation of the Posterior vaginal wall =
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Rectocele/proctocele
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Vaginal discharge, lesions and masses
History of Spotting, Pain, change in urinary habits = |
Vaginal carcinoma
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Vaginal carcinoma is associated w/use of what chemical?
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DES
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Bright red polypoid growth that protrudes from the urethral meatus with no extra symptoms
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Urethral Caruncle
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Antibiotics & Oral contraceptives or systemic disease can lead to
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Candidal infections
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Increase in vaginal discharge that's clear/mucoid and pH<4.5
Wet mount: 3-5 WBCs + epithelial cells |
Physiologic Vaginitis
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FISHY-ODOR Discharge thats foul-smelling
Homogenous thin, white gray pH<4.5 |
Bacterial Vaginosis
GARDNERELLA VAGINALIS |
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+KOH "whiff" test
+ clue cells |
Gardnerella Vaginalis
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PRURITIC discharge
Itching of labia even to thighs |
Candida vulvovaginitis
Candida albicans |
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White CURDY discharge
pH 4-5 Cervix may be red perineum and thighs may be red |
Candida vulvovaginitis
Candida albicans |
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KOH prep: mycelia, budding branching yeast pseudohyphae
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Candida Albicans
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FROTHY, GREEN discharge
pH 5-6 Strawberry Cervix: Cervix w/ Petechiae |
Trichomonas vaginalis
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Wet mount: round/PEAR-shaped protozoa
Motile, "gyrating" flagella |
Trichomonas vaginalis
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Partner has STI
Purulent discharge from Bartholin/Skene's glands Gram stain |
Neisseria Gonorrhoeae
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Partner with non-gonococcal urethritis
Asymptomatic Spotting after intercourse +/- purulent discharge cervix may or may not be red/friable |
Chlamydia trachomatis
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Dyspareunia
VAGINAL DRYNESS PERIMENOPAUSAL Pale, Thin Vaginal Mucosa |
Atrophic Vaginitis
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Wet mount: folded, climped epithelial cells in an old lady with dyspareunia
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Atrophic vaginitis
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New bubble bath, and soap
Foul smelling discharge Wet mount: WBCs |
Allergic Vaginitis
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Red swollen vulva
vaginal discharge uses tampons and condoms bloody foul smelling discharge Wet mount: WBCs |
Foreign body
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MCC of lacerations of cervix =
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Childbirth
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Cervical Lacerations cause what 3 kinds of scarring?
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Lateral transvers
Bilateral Transvers Stellate scarring |
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Enlarged fluid-filled retention cysts that distrots the shape of the cervix and can get infects
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Nabothian Cysts
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Bright red soft fragile polyps that usu arise form the endocervical canal =
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Cervical polyps
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Hard-granular surface on the Cervical os.
Extensive irregular Cauliflower growth that Bleeds Looks like ECTROION earlyon |
Cervical Cancer
HPV |
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Shiny red tissue that may bleed easily, but Pap smear comes back NEGATIVO
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ECTROPION
looks like cervical cancer, must do PAP |
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Uterus falls but stays in the Vagina =
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First Degree uterine Prolapse
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Uterus falls and the cervix is the INTROITUS =
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Second Degree uterine Prolapse
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Uterus falls and the cervix and vagina drop outside the introitus
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Third Degree uterine Prolaps
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Midcycle estradiol fluctuation assoc. w/ ovulation causes what kind of BLEED?
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MIDCYCLE Spotting
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Anovulation or threatened abortion with excessive bleeding cause....
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DELAYED MENSTRUATION
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Chronic PID, endometriosis DUB, Anovulation cause.....
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FREQUENT BLEEDING
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Endometrial polyps
DUB adenomyosis Submucous Bleeding leiomyomas IUD cause.... |
PROFUSE MENSTRUAL bleeding
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Endometrial polyps
DUB Uterine/cervical cancer OC's cause.... |
INTERMENSTRUAL/IRREGULAR BLEEGING
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Endometrial hyperplasia
Estrogen therapy Endometrial cancer cause.... |
POSTMENOPAUSAL BLEEDING
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Benign Uterine Tumor that is Firm, irregular nodules in the contour of the uterus
Causes enlargement of uterus |
Myoma
(Leiomyomas, fibroids) |
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Postmenopausal vaginal Bleeding =
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Endometrial cancer
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Smooth, compressible mass on the Ovary
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Ovarian CYST
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Solid, nodular mass on the Ovary
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Ovarian TUMOR
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45 y.o. Woman complains of Persistent GI symptoms of Generalized Abdominal discomfort, pain, gas, indigestion, boating, cramps and fullness after a small snack
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Ovarian Carcinoma
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Pelvic Tenderness, with rigidity of the Lower abdomen
Cervical Motion tenderness Tachycardic and shock |
Ruptured Tubal Pregnancy
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A woman goes from having vauge abdominal pain that is not particularly distressing, to sudden onset of severe abdominal tenderness in the HYPOGASTRIC area
+ Rebound tenderness & Rigidity |
Ectopic Pregnancy
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Very tender, Bilateral adnexal areas
+ Guarding cannot tolerate bimanual exam |
Acute PID
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Bilaterally tender, Irregular and fairly fixed adnexal areas
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Chronic PID
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Pt has PID, with Lower Quadrant Pain, with Tenderness on Bimanual exam
Fallopian tube infection |
Salpingitis
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Small midline Lower abdominal mass or small cystic mass between the labia
Pt has imperforate hymen |
Hydrocolpos
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Vaginal discharge + Warm, erythematous and swollen vuvar tissue
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Vulvovaginitis
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What causes vulvovaginitis?
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Sexual abuse
Trichomonal Monilal Gonococcal Foreign body secondary infection bubble baths diaper rash urethritis injury |
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How is PROM verified?
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Sterile speculum
collect fluid for Nitrizine paper and microscope exam. Amniotic fluid is pH 7.15 and turns nitrazine paper BLUE-GREEN |
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What does amniotic fliud placed on a slide and air-dried look like?
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"fern" pattern
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What things predispose prolapse of the umbilical cord?
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Premature labor
Fetus in Breech presentation Fetus in Transverse position Hydramnios High or floating presentation part multiple pregnancy |
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Bleeding early in pregnancy may be ....
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Ectopic Pregnancy
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Bleeding late in pregnancy can be.....
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Abruptio placentae
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What should you do w/ a woman who's bleeding during labor or who has a suspected placenta previa
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Prepare for emergency C-section
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When do Vulvar Varicosities commonly occur?
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During Pregnancy
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What causes atophic vaginitis?
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Lack of Estrogen
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