GYN- Upper GU Infections Flashcards Preview

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Flashcards in GYN- Upper GU Infections Deck (15)
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1
Q

postpardum/after instrumentation of endometrial cavity w/ fever, uterine tenderness, inc WBCs, foul smelling lochia

Tx?

A

endometritis

clindamycin + gentamicin

**endometrial Bx will show PLASMA CELLS

2
Q

risk factors for PID

A

sexually active <25 yo

3
Q

complications of PID

A
infertility 
chronic pelvic pain
adhesions
ectopic pregnancy 
tubo-ovarian abcess
Fitz-Hugh-Curtits syndrome
4
Q

treatment PID

A

pregnant = clinda and gent

not pregnant = ceftriaxone and doxy

5
Q

cervicitis vs PID

A

cervicitis has cervical motion tenderness but the rest of the exam is benign

tx for cervicitis

6
Q

treatment for cervicitis

A

aithromycin and ceftriaxone

7
Q

Tubo-ovarian abcess is only seen with what co-existing condition

A

PID

8
Q

treament for TOA

A

IV abx, I&D if unresponsive to abx

9
Q

fever, rash, desquamtion of soles

A

TSSS

10
Q

tx for TSS

A

IV nafcillin (prevents reoccurance, not the current toxin-mediated illness, TSST-1 exotoxin

11
Q

mono-like syndrome + maculopapular rash

A

primary HIV inf

12
Q

CD4 ct when HIV symptomatic

A

200-500

13
Q

CD4 ct for AIDS

A

<200

14
Q

HAART ?

A

2 NRTIs + 1 NNRTI

15
Q

HIV during pregancy? what to di to avoid tranmission?

A

elective c/s and IV ZDZ durign labor and postpartum for baby, no breastfeeding