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Flashcards in GYN 2 Deck (77)
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1

What is milky nipple discharge a sign of?

galactorrhea, can be normal, drug related, thyroid related, or due to prolactinoma

2

What is bloody nipple discharge a sign of?

intraductal papilloma

3

What is greenish/brown nipple discharge a sign of?

mammary duct ectasia

4

What is purulent nipple discharge a sign of?

acute mastitis

5

What is the most common "painful" breast mass for women less than 50?

fibrocystic changes

6

What is the most common breast mass?

fibroadenoma

7

Who is intraductal papilloma commonly found in?

perimenopausal and menopausal patients

8

What are the characteristics of mastitis?

sudden onset of fever, localized pain, and swelling

9

What is the most common cause of mastiti?

staphylococcus aureus

10

When do the most aggressive breast cancers occur?

less than 40 years old

11

When do most breast cancer cases occur?

greater than 50 years old

12

What gene is associated with nearly half of early-onset breast cancer?

BRCA 1

13

What are the 3 categories of breast cancer malignancies?

ductal, nipple, lobular

14

What is the most common breast cancer?

invasive ductal carcinoma

15

What is the most common organism to cause bacterial vaginosis?

gardnerella vaginalis

16

What is the color of the discharge of candidiasis?

thick, "cottage cheese" curdy, white

17

What is the pH of candidiasis?

<4.5

18

Is the amine odor with KOH of candidiasis positive or negative?

negative

19

What does the wet mount of candidiasis show?

WBC, spores, pseudohyphae

20

What is the color of the discharge of trichomoniasis?

frothy, green/yellow discharge

21

What is the pH of trichomoniasis?

>5

22

Is the amine odor with KOH of trichomoniasis positive or negative?

positive

23

What does the wet mount of trichomoniasis show?

WBC, motile trichomonads

24

What does the cervix look like with trichomoniasis?

petechia or strawberry patches

25

What is the color of the discharge of bacterial vaginosis?

thin, white/grey discharge

26

What is the pH of bacterial vaginosis?

>4.5

27

Is the amine odor with KOH of bacterial vaginosis positive or negative?

positive - "fishy smell"

28

What does the wet mount of bacterial vaginosis show?

few WBCs, clue cells

29

What is the most common complaint for someone with vulvar cancer?

vulvar pruritus

30

What is the tx for Bartholin abscess?

I and D followed by insertion of a word catheter and abx