Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
38 Cards in this Set
- Front
- Back
|
Treatment of premenstrual syndrome/premenstrual dysphoric disorder |
Decrease caffeine, alcohol, cigarette consumption If severe-- SSRI |
|
|
Hormone changes in menopause |
Oocytes produce less estrogen and progesterone LH and FSH rise |
|
|
Diagnostic tests for menopause |
Increased FSH is diagnostic |
|
|
Contraindications of estrogen treatment (hormone replacement therapy) in postmenopausal women |
Estrogen dependent carcinoma (breast/endometrial) History of PE or DVT |
|
|
Postcoital bleeding |
Cervical bleeding until proven otherwise |
|
|
Dysfunctional Uterine bleeding |
Unexplained abnormal bleeding |
|
|
How do anovulatory cycles work |
Ovary produces estrogen, no corpus luteum formed ( no progesterone ) Endometrial grows until it outgrows the blood supply --> then sheds |
|
|
If woman with > 35 has DUB what is the management |
Endometrial biopsy to exlude carcinoma |
|
|
Treatment of DUB |
OCPs Acute hemorrhage - D&C |
|
|
Most common cuase of labial fusion |
21-B hydroxylase deficiency Occurs with excess androgens |
|
|
Whtie, thin skin extending from labia to perianal area |
Lichen sclerosis |
|
|
Treatment of lichen sclerosis |
Topical teroids |
|
|
Chronic irritation that causes hyperkeratosis (raised white lesion) in vulva |
Squamous cell hyperplasia |
|
|
Treamtent of squamous cell hyperplasia |
Sitz baths or lubricants to relive pruritis |
|
|
Lichen planus |
Violet, flat papules -- treat w/ topical steroids |
|
|
Bartholin gland cyst |
Glands located on lateral sides of vulva- secrete mucus Sx: pain , tenderness, dyspareunia |
|
|
Treamtnet of bartholin gland cyst |
I&D Culture fluid for gonorrhea & chlamydia |
|
|
Marsupialiation |
Form of I&D where open space is kept open w/ sutures |
|
|
Main risk factors for vaginitis |
Things that increase pH of vagina: Antibiotic use DM Overgrowth of normal flora |
|
|
Treatment of Bacterial vaginosis |
Metronidazole or clindamycin |
|
|
Postmenopausal woman
Vulvar soreness and pruritis Red lesion w/ superficial white coating |
Paget disease |
|
|
Treatment of paget disease |
If bilateral - radical vulvectomy If unilateral - modified vulvectomy |
|
|
Most common type of vulvar cancer |
squamous cell carcinoma |
|
|
Treatment of unilateral vulvar cancer w/o LN involvement |
Modified radical vulvectomy |
|
|
Treament of bilateral vulvar cancer |
Radical vulvectomy |
|
|
Adenomyosis |
Invasion of endometrial glands into myometrium |
|
|
Risk factors for adenomyosis |
Endometriosis Uterine fibroids |
|
|
Presentation of adenomyosis |
Dysmenorrhea Menorrhagia |
|
|
Most accurate test for adenomyosis |
MRI |
|
|
Definitive treatment of adenomyosis |
Hysterectomy |
|
|
Implanation of endometrial tissue outside of endometrial cavity |
Endometriosis |
|
|
Cyclic pelvic pain that starts 1-2 weeks before menstruation and peaks 1-2 days before menstruation |
Endometriosis |
|
|
Nodular uterus and adnexal mass on PE |
Endometriosis |
|
|
Diagnosis of endometriosis |
Direct visualization via laparascopy |
|
|
Chocolate cyst |
Cluster of endometrial lesions on ovary |
|
|
Treatment of endometriosis |
Analgesia - NsAIDs/OCPs If moderate/severe -- Danazol (androgen derivative)/leuprolide (GnRH agonist- suppresses estrogen) --> Both decrease FSH/LH If severe -- surgical treatment- remove all implants |
|
|
Reason for low FSH in PCOS |
High androgens = high testosterone High androgen & obesity = high estrogen outside ovary Stimulates LH secretion & inhibits FSH secretion (Ratio 3:1) |
|
|
Treatment of PCOS |
weight loss OCPs Clomiphene (SERM)/Metformin - if wish to conceive |
