Gyn Concerns/Issues in Men's Health Flashcards
(61 cards)
What is secondary amenorrhea?
What is the most common cause?
-Cessation of menstrual flow after the establishment of normal menstrual cycling -Pregnancy -Pregnancy test -Referral for other studies
What is primary amenorrhea?
Symptoms/History?
PE
-Absence of menarche by age 16
-Absence of secondary sex characteristics
-Abnormal growth and development
-Refer to be evaluated for chromosomal defects,
anatomic anomalies, hormonal imbalances, tumor,
and trauma
-Complete evaluation to identify etiology, pelvic exam to
identify and anatomical defects
-Pregnancy test, refer to endocrinologist
Considering the Bethesda Classification, when would you refer a woman based on their cervical intraepithelial neoplasia finidngs?
CIN 2 (moderate dysplasia), CIN3 (severe dysplasia), or CIS (carcinoma in situ).
What is the third most common GYN cancer?
Cervical
Which is the most common GYN cancer killer?
Ovarian
Which is the most common cancer in women?
Lung
Which cancer has the highest incidence in women?
Breast
Which is the second most common cancer among both men and women?
Colorectal
All of the following you would expect to find in a woman with PID except:
a. afebrile
b. positive CMT
c. abdominal tenderness
d. adnexa tenderness
a. afebrile.
You would expect to find a temp >38 along with N/V, dyspareunia, dysuria, vaginal discharge, and possibly infertility.
What diagnostics would you run on a woman with a woman presenting with signs/symptoms of PID?
STD testing. ESR or CRP. US to look for ovarian cysts.
How do you treat PID?
Ofloxacin x 14 days or Levofloxacin x 14 days w/wo Flagyl x 14 days.
OR
ceftriaxone IM + Doxycycline x 14 days w/wo Flagyl OR cefoxitin IM + Probenecid + Doxy w/wo Flagyl
Your patient comes in c/o breast tenderness, feeling bloated, HA, irritable, anxiety, and weird food cravings. She says she is supposed to start her period in 5 days. You diagnose her with Premenstrual Syndrome/Premenstrual Dysphoric Disorder (PDD). What do you advise?
Stop drinking caffeine as it can increase irritability, anxiety, tension, and depression.
What are key characteristics that differentiate fibrocystic breast disease and breast cancer?
tender, mobile cysts/masses palpable, may be round or nodular soft or firm vs nontender with poorly defined borders, fixed, and firm. May have dimpling, nipple retractions, bloody discharge, and lymphadenopathy.
What is the primary chief complaint in menopause?
hot flashes
If a menopausal women asks for hormone replacement and she is s/p hysterectomy, what will you NOT give her?
Progesterone.
In addition to HRT in menopausal women, what else would you prescribe?
Calcium and exercise
When starting a woman on HRT, what are your considerations?
History of breast cancer, myocardial infarction/CAD, and uterine cancer
In a younger woman, what presentation would alert you to screen for osteoporosis?
eating disorders/excessive exercise–> amenorrhea–> lack of estrogen resulting in bone loss
What does a DEXA scan score of -2.1 indicate?
Osteopenia/ Low bone mass
What does a DEXA scan score of - 2.8 indicate?
Osteoporosis
What are the dietary recommendations for calcium and Vitamin D in women ages 50-64?
1500mg Calcium (if not taking HRT) vs 1000mg if on HRT 800-1000 iU/day of Vitamin D
What is the black box warning associated with biphosphanates (“dronate meds”)?
can cause osteonecrosis of the jaw, esp in women with cancer
How do you instruct a women to take her bisphosphonate?
With a full glass of water. Remain NPO for 30mins-1hour. Sit upright for 30mins-1hr after taking.
What is the population typically affected by SLE?
women of childbearing age
