Gyn Step2

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Author:
gm1147
ID:
166149
Filename:
Gyn Step2
Updated:
2012-08-15 13:58:12
Tags:
Gyn gynecology step2 obgyn
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Description:
kaplan
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  1. PMS and PMDD tx
    • dec caffeine, etoh, cigarettes, chocolate
    • SSRI
  2. Causes of menorrhagia
    • Endometrial hyperplasia
    • Uterine fibroids
    • Dysfunctional uterine bleeding
    • Intrauterine device
  3. Causes of hypomenorrhea
    • obstruction, stenosis
    • OCPs
  4. Metrorrhagia
    • Intermenstrual bleeding
    • Caused by polyps, cancer, exogenous estrogen
  5. Menometrorrhagia
    • Irregular time, duration, or amount
    • Caused by polyps, ca, exogenous estrogen, malignant tumors
  6. Oligomenorrhea
    • >35d cycles
    • pregnancy, menopause, anorexia, tumor secreting estrogen
  7. postcoital bleeing causes
    • cervical ca
    • cervical polyps
    • atrophic vaginitis
  8. Dysfunctional uterine bleeding
    • unexplained abnormal bleeding
    • bx if >35yo to rule out carcinoma
    • exclude hypothyroid and hyperprolactinoma
  9. Most common cause of labial fusion
    21B hydroxylase deficiency
  10. Vulvar epithelial abnormalities
    • Lichen sclerosis: white and thin, give topical steroids
    • Squamous cell hyperplasia/hyperkeratosis: raised white, give sitz baths and lubricants
    • Lichen planus: In 30-70yom violet flat papules, give topical steroids
  11. Bartholin gland cyst
    • lateral
    • Pain
    • I&D, cx, marsupialization
  12. Risk factors for vaginitis
    • Abx (normal pH is <4.5)
    • DM
    • Overgrowth of flora
  13. Bacterial vaginosis bug, tx
    • Gardenerella
    • Metro or clina
  14. Tx for candidiasis
    Miconazole, clotrimazole, econazole, or nystatin
  15. Paget disease of vulva
    • Red lesion with white coating
    • Bx
    • Tx is Vulvectomy
  16. Staging of vulvar SSC
    • 0: in situ
    • 1: <2 cm into wall
    • 2: Volva or perineum >2cm
    • 3: Lower urethra, anus, unilateral LN
    • 4: bladder, rectim, b/l LN
    • 4a: distant mets
  17. Adenomyosis symptoms, dx
    • Dysmenorrhea, menorrhagia
    • Clinical, accurate is MRI, definitive is hysterectomy
  18. Danazol
    • androgen derivative
    • used for endometriosis
    • sides of acne, weight gain, hirsutism
  19. Leuprolide
    • GnRH agonist
    • suppressess estrogen if continuous
    • sides of hot flashes and dec bone density
  20. PCOS hormones
    • LH:FSH >3:1
    • Due to high androgens
  21. PCOS tx
    • weight loss
    • OCPs
    • If want to be pregnant - clomiphene and metformin

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