Pediatric GU & GYN Flashcards Preview

AANP FNP: Pediatrics > Pediatric GU & GYN > Flashcards

Flashcards in Pediatric GU & GYN Deck (12):
1

Enuresis

Primary- never established control
Secondary- restarted after 6 months of control
check UA, culture
Treat- enuresis alarm, bladder control training, hypnosis, medications (imipramine, desmopressin, oxybutynin)

2

Treatment of UTI in kids

- Oral antibiotics for 10-14 days (Bactrim, cephalosporins)
- Hospitalize under 2mo old for IV antibiotics
- Follow up in 2 days: change antibiotic if no improvement, then follow up in 1-2 weeks, then every 1-3 months for one year
- Renal US after first UTI in febrile infants, or 2-24 months old

3

Prehn's sign

Relief of scrotal pain with elevation of the scrotum occurs with epididymitis, and no relief of pain with testicular torsion

4

testicular torsion

acute severe pain, cremasteric reflex absent
emergent surgery

5

Dysmenorrhea

Primary: no pathology
Secondary: underlying cause (pregnancy, PID, endometriosis)
Heat, ibuprofen, NSAID, OCPs, refer to GYN if needed

6

Chlamydia

most common cause of cervicitis and urethritis in adolescents
S/sx: asymptomatic, dysuria, postcoital bleeding, discharge, pelvic pain, testicular pain
Dx: culture, or enzyme immunoassay (EIA) (quick urine test)
Tx: azithromycin 1 gm x1, OR doxycycline 100mg BID x7 days

7

Gonorrhea

leading cause of infertility in females
S/sx: dysuria, urinary frequency, discharge, labial pain/swelling, lower abdominal pain, fever, dysmenorrhea, nausea/vomiting, penile discharge, testicular pain
Dx: Culture
Tx: Ceftriaxone (Rocephin), co-treat chlamydia

8

Syphilis stages

Primary: painless chancre, adenopathy 2-6 weeks after exposure
Secondary: flu symptoms, adenopathy, rash (palms/soles/mouth) 6-8 weeks later
Latent: asymptomatic
Tertiary: leukoplakia, cardiac insufficiency, tumors, CNS involvement

9

Syphilis

VDRL/RPR to screen, and confirm with treponemal tests

Pencillin G (or if allergic, doxycycline, or erythromycin)

10

Herpes

initial- fever, malaise, dysuria, painful/pruritic ulcer for 12 days
recurrent- less painful/pruritic ulcer for 5 days
diagnose- viral culture
treat- acyclovir or valacyclovir

11

HIV/AIDS

Screen with HIV PCR in infants, and ELISA in older kids
Western blot to confirm
Monitor CD4 and viral load
Refer to ID/HIV specialist

12

CD4 count in HIV/AIDS management

Normal CD4 >800
Start antivirals and prophylactic drugs when CD4