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40 Cards in this Set

  • Front
  • Back

postcoital bleeding, think what dz until proven otherwise?

cervical CA

what is more common cause of post-coital bleeding

cervicitis

postmenopausal bleeding is what dz until proven otherwise?

endometrial CA

m/c gyn malignancy in the US?

endometrial CA

what is endometriosis?

aberrant growth of endometrium outside the uterus lining

Pap smear screening should be at what age?

21

"chocolate cyst"


benign


palpable mass on ovary

endometriosis

concerned with what complication with germ cell tumor?

ovarian torsion

what is seen on US/XR with germ cell tumor?

calcification

infertility


chronic menstural irregularities


hyperandrogenism


insulin resistance



what dz?

PCOS

CA-125, what dz?

ovarian cA

BRCA, what diseases?

endometrial CA


breast cA

treatment/recs for tx of PCOS

obesity - weight loss


androgen excess - spironolactone OCPs


endometrial protection - OCPs


Ovulation induction - clomiphene


insulin resistence - weight loss, metformin


dyslipidemia - weight loss, statin

bacterial vaginitis - Amsel Criteria?

PH >4.5


positive whiff test


malodorous gray, slighly frothy discharge


clue cells

tx of bacterial vaginitis

Metronidazole


or clindamycine cream


avoid ETOH

candidal vaginitis symtpoms

vulvar itching


erythema


white, curdy d/c


KOH shows hyphae

Tx for vaginal candidiasis

Diflucan

Screening rec for chlamydia

routinely screen all sexually active women aged 25 or younger

Pelvic inflammatory dz etiologies?

gonorrhea


chlamydia


EColi

PID treatment

Outpatient:


ceftriaxone


doxycycline


metronidazole



Inpatient: cefoxitin + doxycycline

causes of glactorrhea

psychotropics (Risperdal)


OCPs


CNS lesions (pituitary microadenoma


hypothyroidism

m/c cause of blood nipple d/c

papilloma

m/c lesion of breast 30-50y/o

fibrocystic dz of the breast

m/c type of breast CA?

infiltrating ductal CA (80%)


m/c lethal type of breast CA

inflammatory breast CA(1-3%)

erythematous, edematous, warm skin overlying the breast (looks like cellulitis) associated with inflammatory breast CA?

Peau d'orange

infiltrating intraductal CA in the nipple nad ducts of nipple (looks like ezcema), first symptoms usualy itchin gor burning of nipple



what dz?

Paget's dz of the breast

prenancy not in uterus

ectopic pregnancy

pre-eclampsia in 1st or 2nd trimester is pathognonomic for what dz?

molar pregnancy

QS-AFP done in what weeks of pregnancy?

16-20 weeks

gestational HTN tx?


what drug to avoid?

labetalol/Methyldopa


avoid ACE-I (tetatogenic!!!)

Pre-elampsia findings?

HTN


proteinuria


edema

Eclampsia

grad mal seizure during or immediately post partum

tx of eclampsia?

magnesium

What is HELLP Syndrome?

Hemolysis


Elevated liver enzymes


low platelets

tx for HELLP syndrome?

delivery

PAINFUL VAGINAL BLEEDING, THINK WHAT DZ?

Placental abruption

panless vaginal bleeding, think what dz?

placental previa

what drug delays contractions?

tocolysis

shoulder dystocia


risk factors?

fetal macrosomia


maternal DM