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21 Cards in this Set
- Front
- Back
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HRT SE |
↑ incidence of breast ca |
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HRT C/I |
Vaginal bleeding |
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SERM SE |
Hot flashes (MC) |
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Copper IUD SE |
↑ bleeding |
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Medroxyprogesterone SE |
Weight gain |
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COCPs SE |
Breakthrough bleed (MC) Hypertension Daily compliance needed Weight gain is NOT a SE! |
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C/I to estrogen containing contraception |
Hx of stroke, HTN, DVT/PE Breast ca Undiagnosed AUB >35 + smoker Liver neoplasm |
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Emergency contraception |
Copper IUD (99% effective) Morning-after pills: Ulipristal (antiprogestin, >85%) Levonorgestrel (progestin, 85%) COCPs (combined estrogen & progestin, 75%) |
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Androgen secreting tumour |
Rapid-onset hirsutism +/- virilization ↑ DHEAS → adrenal tumour ↑ Testosterone, normal DHEAS → ovarian source |
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Cervicitis Sx and Tx |
Sx: mucopurulent + CMT Tx: gonorrhea → ceftriaxone; chlamydia → azithromycin/doxycycline |
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PID Dx |
Lower abdominal/pelvic pain + CMT/adnexal/uterine tenderness |
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PID Tx |
Outpatient: ceftriaxone + doxycycline + metro Inpatient: cefoxitin + doxycycline or genta + clinda |
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Endometrial cancer RF |
Unopposed estrogen (obesity, anovulation, PCOS, early menarche, late menopause, nulliparity) COCPs ↓ risk |
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Ovarian cancer RF |
↑ menstrual cycles (early menarche, late menopause, nulliparity, late pregnancy) COCPs ↓ risk |
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Breast cancer RF |
↑ estrogen (early menarche, late menopause, nulliparity, first pregnancy >35) ↑ age, Caucasian, family hx of 1st degree relative Alcohol, radiation |
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Pap smear normal |
Pap smear in 3 years |
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Pap smear abnormal (AGC, HSIL, ASC) |
Colposcopy |
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Pap smear ASCUS |
21-24 → pap smear in 1 year >24 → HPV DNA (if ⊕ do colpo, if ⊖ do pap smear in 3 years) |
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Stress incontinence |
↑ intraabdominal pressure D/t urethral sphincter weakness d/t laxity of pelvic floor Tx: Kegel, pessary; vaginal vault/urethral sling |
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Urge incontinence |
Unexpected voiding D/t detrusor hyperreflexia (MS) Tx: anticholinergic (oxybutynin), TCA |
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Overflow incontinence |
Small dribbling D/t full bladder (DM); PVR >150 ml ♀, >50 ml ♂) Tx: Catheterization acutely, tx underlying dz |
