Labs to order for PID? - hCG r/o preg
blood culture r/o septicemia
Sx of ovarian cancer? - GI symptoms
Post-menopausal bleeding
Palpable ovaries post-menopause
Urinary frequency
Constipation
When do leiomyomas regress? - Menopause b/c of low estrogen. If they keep getting bigger, then
consi...
Gynecology NPLEX 2
Labs to order for PID? - hCG r/o preg
blood culture r/o septicemia
Sx of ovarian cancer? - GI symptoms
Post-menopausal bleeding
Palpable ovaries post-menopause
Urinary frequency
Constipation
When do leiomyomas regress? - Menopause b/c of low estrogen. If they keep getting bigger, then
consider malignancy
Main screening tool for cervical cancer? - Pap smear
How do you confirm cervical cancer? - Biopsy
Common place for cervical cancer to spread? - Lungs
Treatment for cervical cancer? - 5-FU
Prophylaxis for cervical cancer? - Gardasil for females 9-45 y/o
Contraindication for gardasil? - Pregnancy or nursing women
< 9 years old
Cause of endometrial cancer? - Excess estrogen (obesity, PCOS, DM, nulliparity, late menopause,
tamoxifen)
, Treatments for endometrial cancer? - Progestin for low grade cancer (to oppose high estrogen)
Doxorubicin - rub the uterus
Chemo/radiation or surgery
Symptoms of endometrial cancer? - Postmenopausal bleeding
Vaginal d/c
Cause of leiomyoma? - high estrogen
Symptoms of uterine fibroids? - dysmenorrhea, menorrhagia
dyspareunia
pressure on colon causing constipation
Pressure on bladder causing increased frequency, urgency and incontinence
Acute urinary retention (emergency)
Imaging to view uterine fibroid? - transvaginal ultrasound
When do you want to biopsy a fibroid? - r/o cancer
What are the highest risk HPV infections that can cause cancer? - 16 and 18
Low risk = 6 and 11
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