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Menstruation, Breast abnml, Other - Rosh
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Menstruation, Breast abnml, Other -Rosh
At what point of the menstrual cycle may women complain of clear/white discharge that is
comparable to egg white consistency? - End of follicular phase/beginning of luteal phase — estrogen
high b/c follicle growing, progesterone low b/c corpus luteum has not yet started to produce
progesterone
At what part of the menstrual cycle do PMS sx start? - End of luteal phase
What hh dominates the luteal phase? - Progesterone
Mullerian agenesis = - 46 XX karyotype that leads to malformation of sexual structures
*will not have proper anatomy
MOA of leuprolide - GnRH analogue that causes suppression LH and FSH
MC site for endometriosis - Ovaries
Vaginal pH assoc w/ vaginal atrophy = - >5
MCC of AUB within the first 1-2 yrs of menarche = - Immature hypothalamic-pituitary axis
Bitemporal vision loss with AUB; think: - Prolactinoma
Spirinolactone MOA + use - K sparing diuretic
*must monitor for hyperkalemia
Used to tx breast tenderness, bloating, and swelling; also used in PCOS
A fixed retroverted uterus w/ painful intercourse should make us think: - Endometriosis
*ovaries = MC site
, When should routine screening for OP begin in women? - 65yo
What is the best way to dx menopause? - Clinically
Breast CA risk is incr with use of what type of BC? - Combination pill d/t estrogen presence
Adenomyosis = - implantation of endometrial tissue in myometrium; tender, symmetrically enlarged
boggy uterus
How long after menarche does ovulation typically start? - 2-5 yrs
Which type of bacterial STI is hard to Gram stain? - Chlamydia t
* if a urinalysis has pyuria without Gram stain think of chlamydia
Chlamydia trach can cause what kind of lesions? - Painful, indurated lesions
What do we treat chlamydia trach with and for how long? - Doxycycline 100 mg for 21 days
What type of physical exam finding is typical vaginitis despite the ideology? - Punctate Cervix, a.k.a.
strawberry cervix
Gram-negative diplococci = - Neisseria gonorrhoeae
What type of infection will have a pH greater than four and thin gray white discharge? - Bacterial
vaginosis
A patient presents with cervical motion, tenderness, extreme bilateral abdominal pain and abnormal
vital signs. She also reports to have history of unprotected sex. What is the treatment? - Considering
that this patient has abnormal vital signs we must treat her with a different antibiotic than just ceftr
and doxycycline. Must do cefoxitin and doxy because impatient.
What is the first line treatment for vaginal dryness and atrophy? - Lubricants and moisturizers only
after the patient has tried and fail these do we resort to vaginal estrogen
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