Flashcards in UWise - GYN Deck (21)
Disadvantage of medical abortion versus surgical abortion?
Manual vacuum aspiration abortion – cannot be done when?
Over eight weeks
Prolonged Russell viper venom time from?
Antiphospholipid antibody syndrome
Patient over 20 weeks who wants termination and an autopsy of the fetus - management?
Must get medical abortion – begin induction with intravaginal prostaglandins
Vulvar vestibulitis – Symptoms? Tx?
Dyspareunia, pain with tampon insertion, exquisite tenderness to light touch
Tricyclic antidepressants, pelvic floor exercises
Lichen Symplex chronicus?
Non-neoplastic vulvar disorder from chronic scratching/rubbing
Enlarged labia with or without edema
Patient with chronic vaginal pain, bleeding gums, whitish reticular skin change, popular rash on wrist? Tx? Complications?
Lichen planus – Super potent tropical steroids; obliteration of the vagina
Patient with acute salpingitis – when to treat as inpatient with IV anabiotic's?
Nausea and vomiting; high fever
Patient with sudden pain and nausea, ultrasound shows 6 cm mass on right ovary – most likely diagnosis?
Pt with suspected ovarian cyst – next step?
Surgical exploration (NOT Doppler)
Patient with endometriosis has complex ovarian cysts – diagnosis?
Hemorrhagic cyst – Important patient history?
LMP 3 weeks prior
Patient with history of PID and TOA. Now has chronic pelvic pain. Laparoscopy shows adhesions on right salpinx, but normal left tube and ovary – treatment if patient desires future fertility?
Right salpingectomy and lysis of adhesions
Nerves at risk for entrapment (causing sensation problems) during pelvic surgical procedures from low transverse incision?
Iliohypogastric – Sensation to groin and skin over pubis
Ilioinguinal sensation little lower (growing, pubis, labium, upper inner thigh)
Nerve that can be injured during lymph node dissection? Results in?
Obturator nerve. Unable to abduct the Thigh
Patient wants removal of IUD – attempt with IUD hook fails – next step?
Definitive (not first-line) treatment for endometriosis?
Hysterectomy with bilateral salpingo- oophorectomy
Previous pregnant pt now not getting pregnant. Test? Description?
Clomiphene challenge test
1. Give clomiphene on day 5-9
2. Check FSH on day 3 and 10 to determine ovarian reserve
Chronic, unrelenting skin infection causing scars and foul discharge
Multicentric brown papules on perineum, perianal, and labia?
Vulvar intraepithelial neoplasia