23488976
Beschreibung
Karteikarten von Kelly Leslie, aktualisiert more than 1 year ago
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Erstellt von Kelly Leslie
vor mehr als 4 Jahre
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| Frage | Antworten |
| Breast cancer risk factors | Age obesity dense breasts brca 1 and 2 low parity early menarche late menopause estrogen medications |
| Most common breast mass | Fibroadenoma Cysts But do not assume they are low-risk due to age |
| Diagnostic Studies | Ultrasound for <30 yo Mammography for >30 Tomosynthesis follow up if dense breasts |
| Screening for mammograms | 45 yearly 55- 75 every 2 years |
| Abnormal uterine bleeding causes | PALMCOein |
| Primary Dysmenorrhea Pelvic Pathology | Cause- excessive prostaglandins Pain starts 1-2 days before menses |
| Secondary Dysmenorrhea | usually, the onset is after age 25 dyspareunia especially with endometriosis causes: endometriosis, fibroids, infection/PID, adenomyosis |
| Treatment | Ultrasound Pelvic NSAIDs Combination Hormonal Contraceptives Intrauterine Contraception (Mirena, Kyleena) good for 5 years. |
| PCOS signs and symptoms | oligomenorrhea amenorrhea AUB hyperandrogenism Rotterdam criteria: 2/3 irregular cycles, hyperandrogenism, cystic ovaries |
| PCOS Diagnostic Workup | BMI>30 waist >35 inches Blood pressure Pregnancy Test CBC, Lipids every 2 years TSH Hgb A1C> 6.4 Free Testosterone 2-3% Total Testosterone >=60, tumor 150-200 Prolactin 3-27 |
| Birth Control Combination hormonal Contraceptives | low androgen progestins-safer levonorgestrel #! norethindrone |
| Estrogen Progestin | The estrogen used primarily for cycle control Progestin used for breakthrough bleeding *levonorgestrel *norethindrone *Drospirenone-avoid if coagulopathies |
| Long-acting contraceptive | Copper iud Mirena Kyleena |
| Cervical Cancer Risks | High Risk HPV 16,18 |
| HPV vaccines | Gardasil 9-14 years 2 doses 6 months apart if 15-26 3 doses 1-2, 6 months |
| Screening Guidelines | 21-29 Pap every 3 years 25-65 Pap every 3 years 30-65 pap/hpv every 5 years pap only every 3 years |
| Screening for ASC | Repeat pap 12 months if negative=routine screening if + colposcopy |
| Screening for ASC-H | colposcopy for all |
| LSIL | 21-24 observe, repeat after 1 year > 25 years colposcopy |
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