Leslye Shared "clin med Obs/Gyn" - 29 Picmonics
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clin med Obs/Gyn
Endometriosis
- Cause
- Endometrial Tissue Outside Uterus
- Retrograde Menstrual Flow
- Assessment
- Dysmenorrhea
- Cyclic Pelvic Pain
- Irregular Vaginal Bleeding
- Pain with Defecation
- Dyspareunia
- Interventions
- Medications to Decrease Ovulation
- NSAIDs
- Surgery
2 mins
Endometriosis Characteristics
- Endometrial Tissue Outside of Uterus
- Glands and Stroma
- Most Common in Ovary, Pelvis, Peritoneum and Bowels
- "Chocolate Cyst" in Ovary
- Adenomyosis
- Theories
- Retrograde Flow
- Metaplastic Transformation
- Mullerianosis
2 mins
Endometriosis Symptoms and Treatment
- Symptoms
- Dysmenorrhea
- Cyclic Pelvic Pain
- Dyschezia
- Dysuria
- Dyspareunia
- 30-40% are Infertile
- Treatment
- Surgery
- NSAIDs
- OCPs
- Progesterone (Progestins)
- GnRH Agonists
1 min
Uterine Leiomyoma (Fibroids) Characteristics and Presentation
- Most Common Gynecologic Tumor
- Benign Smooth Muscle Tumor
- Risk Factors
- Early Menarche
- Hormone Sensitive
- African Americans
- Presentation
- Abnormal Menses
- Infertility
- Urinary Symptoms
- Irregularly Enlarged Uterus
3 mins
Endometrial Hyperplasia
- Characteristics
- Unopposed Estrogen
- With or Without Atypia
- Signs and Symptoms
- Postmenopausal Vaginal Bleeding
- Amenorrhea
- Menorrhagia
- Metrorrhagia
- Short Menstrual Cycles
- Diagnosis
- Transvaginal Ultrasound
- Treatment
- Progesterone
- Complications
- Endometrial Carcinoma
2 mins
Polycystic Ovarian Syndrome (PCOS) Mechanism
- Mechanism
- Hyperinsulinemia Increases GnRH Pulse Frequency
- Large Increase in LH
- Small Decrease in FSH
- Increased Androgen Production From Theca-Lutein Cells
- Decreased Steroid Hormone-Binding-Globulin (SHBG) Causes Increased Free Testosterone
- Obese Patients Have Increased Estrogen
- Increased Risk of Endometrial Cancer
2 mins
Polycystic Ovarian Syndrome (PCOS) Treatment
- Weight Loss
- Oral Contraceptives
- Clomiphene Citrate
- Anti-androgens
- Cyclic Progesterone for Endometrial Protection
- Metformin
1 min
Polycystic Ovarian Syndrome (PCOS) Symptoms and Diagnosis
- Symptoms
- Most Common Cause of Infertility in Women
- Amenorrhea
- Acne
- Hirsutism
- Obesity
- Diagnosis
- Enlarged, Cystic Ovaries
- LH:FSH Ratio of 3:1
- "String of Pearls" on Ultrasound
1 min
Teratoma
- Germ-cell Tumor
- Dermoid Cyst (Benign and Mature Teratoma)
- Immature Teratoma (Malignant)
- Struma Ovarii
2 mins
Ovarian Cystadenocarcinoma
- Non-germ Cell Tumor
- Mucinous
- Peritoneal Spread
- Serous
- Psammoma Bodies
- Bilateral
- Malignant
- Stromal Invasion
- CA 125
- BRCA-1 and Lynch Syndrome
1 min
Gonorrhea
- Mechanism
- Neisseria gonorrhoeae
- Assessment
- Dysuria
- Yellowish-Green Discharge
- Increased Urinary Frequency
- Women Often Asymptomatic
- Interventions
- Ceftriaxone (IM)
- Chlamydia
- Doxycycline
- Azithromycin
- Considerations
- Treat Partners
2 mins
Chlamydia
- Mechanism
- Chlamydia trachomatis
- Assessment
- May Be Asymptomatic
- Dysuria
- Epididymitis
- Discharge
- Dyspareunia
- Interventions
- Doxycycline
- Azithromycin
- No Intercourse for 1 Week
- Treat Partners
2 mins
Human Papillomavirus (HPV)
- Characteristics
- Non-enveloped
- Circular
- Double Stranded DNA
- Disease
- Warts 1, 2, 6, 11
- Condyloma acuminata
- Type 16, 18
- Cervical Carcinoma
- Penile Carcinoma
- AIDS/Immunocompromised
- Worsened by Smoking
- Diagnosis
- Koilocytic change in squamous epithelium
- Pyknotic Nuclei Surrounded by Clear Halo
- Treatment
- Vaccine Available
4 mins
Vaginitis
- Cause/Mechanism
- Infection
- Postmenopausal Atrophy
- Assessment
- Vaginal Discharge
- Pruritus
- Interventions
- Antifungals (Miconazole, Clotrimazole)
- Antibiotics
- Estrogen Hormones
- Abstinence
- Considerations
- Good Hygiene
- Recurrent Vaginitis
2 mins
Trichomonas vaginalis
- Characteristics
- Protozoa
- Signs and Symptoms
- Vaginitis
- Pruritus
- Foul-smelling Greenish Frothy Discharge
- Strawberry Cervix
- Diagnosis
- Corkscrew Motility on Wet Prep
- Treatment
- Metronidazole
2 mins
Gardnerella vaginalis
- Signs and Symptoms
- Bacterial Vaginosis
- Not an STD
- Fishy Smell
- Whiff Test
- Grey Vaginal Discharge
- Increase pH
- Clue Cells
- Squamous Epithelial Cells Covered with Bacteria
- Mobiluncus Coinfection
- Treatment
- Metronidazole
2 mins
Candida Albicans
- Fungi
- Yeast with Pseudohyphae at 20 Degrees C
- Germ Tube Formation at 37 Degrees C
- Pruritic Vaginitis
- White Cottage Cheese Discharge
- Fiery Red Mucosa
- Diabetics
- Antibiotic Use
- Esophageal Thrush in Immunocompromised
- Diaper Rash
- Endocarditis in IV Drug Users
2 mins
Genital Warts - Condylomata Acuminata
- Mechanism
- Human Papillomavirus (HPV)
- Assessment
- Papillary Cauliflower Like Growths
- Bleeding
- Vaginal Discharge
- Interventions
- Wart Removal
- Trichloroacetic acid (TCA)
- Podophyllin resin
- Cryotherapy
- Considerations
- HPV Vaccine
- Cervical Cancer
2 mins
Vaginal Cancer
- Characteristics
- HPV 16, 18
- Squamous Cell Carcinoma is Most Common Subtype
- Clinical Features
- Vaginal Bleeding
- Leukoplakia
- Diagnosis
- Colposcopy with Biopsy
- Management
- Radiation Therapy
- Surgery
2 mins
Gestational Diabetes
- Signs and Symptoms
- Usually Asymptomatic
- Fetal Macrosomia
- Polyhydramnios
- Diagnosis
- Glucose Intolerance After 24 Weeks Gestation
- 3-hr 100g Glucose Tolerance Test
- Treatment
- Diet and Exercise
- Close Glucose Monitoring
- Insulin
- Ultrasound (or Nonstress Test (NST))
- Delivery
2 mins
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