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OSCI > WH Dx 3 > Flashcards

WH Dx 3 Flashcards

1
Q

dyspareunia

A

vulvovaginal or pelvic pain that is provoked by or exacerbated during sexual contact

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2
Q

vulvovaginal or pelvic pain that is provoked by or exacerbated during sexual contact

A

dyspareunia

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3
Q

dyspareunia risk factors
6

A
  1. pelvic floor muscle hypertonia
  2. PID
  3. depression
  4. anxiety
  5. hx of sexual abuse
  6. < 50 y.o.
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4
Q

dyspareunia hallmark sx

A

pain with genital sexual contact

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5
Q

dyspareunia DD
3

A
  1. STD
  2. PID
  3. endometriosis
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6
Q

dyspareunia education

A

This is pain with intercourse. This can be caused by a number of things like anatomy changes, infection, hormones, trauma, and inflammation. Some self-help options can include lubricants, relaxation techniques, and breathing exercises

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7
Q

dyspareunia meds

A

NSAIDs

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8
Q

dyspareunia test

A

no lab or imaging test; can r/o other conditions like STDs and UTI

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9
Q

dyspareunia f/u

A

Refer to pain specialist if appropriate, pelvic floor PT, and sex therapist. Come back in 3 months

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10
Q

dyspareunia red flags
5

A
  1. worsening symptoms
  2. change in menstrual period
  3. change in discharge
  4. bleeding or spotting between periods
  5. signs of abuse
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11
Q

endometriosis

A

endometrial tissue grows outside the uterine cavity

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12
Q

endometriosis - patients classically present during when with what

A

their reproductive years with sx of pelvic pain, infertility, ovarian mass

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13
Q

endometriosis peak age

A

25-35

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14
Q

endometriosis s/sx
8

A
  1. chronic abdominal pain
  2. pelvic pain or pressure
  3. severe dysmenorrhea
  4. dyspareunia
  5. heavy menstrual bleeding
  6. infertility
  7. low back pain
  8. chronic fatigue
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15
Q

endometriosis bowel and bladder

A

can cause bowel and bladder dysfunction -
pain
urgency
frequency

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16
Q

endometriosis physical exam findings
4

A
  1. focal tenderness on vaginal exam
  2. nodules in posterior fornix
  3. adnexal masses
  4. immobility or lateral placement of cervix or uterus
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17
Q

chronic abdominal pain, pelvic pain, pressure, severe dysmenorrhea

A

endometriosis

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18
Q

pelvic pain, infertility, and ovarian mass

A

endometriosis

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19
Q

tenderness on vaginal exam, immobility or lateral placement of cervix

A

endometriosis

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20
Q

endometriosis DD
3

A

dysmenorrhea
PID
Uterine malignancy

21
Q

endometriosis education
4

A
  1. In this condition, the cells that normally grow within the uterine lining, grow outside of it.
  2. This leads to inflammation inside the body.
  3. This causes a lot of symptoms and fertility issues.
  4. Avoid fatty food, red meats, caffeine and alcohol.
22
Q

endometriosis meds
2

A
  1. NSAID for pain
  2. Oral contraceptives
23
Q

endometriosis test
2

A

A TVUS is recommended.
The only definite dx is through a laparoscopy which is a biopsy.

24
Q

endometriosis f/u

A

4-6 weeks to determine effectiveness of treatment

25
Q

endometriosis red flags
4

A
  1. worsening sx
  2. increased pelvic pain
  3. increased bleeding
  4. GI or GU concerns
26
Q

fibroadenoma

A

benign breast mass

27
Q

benign breast mass

A

fibroadenoma

28
Q

fibroadenoma is most common in who

A

women 30-40

29
Q

fibroadenoma risk factors
2

A
  1. hormone replacement therapy
  2. family history of breast cancer
30
Q

fibroadenoma physical exam findings

A

benign solid mass, painless, firm, and mobile

31
Q

breast mass that is painless and mobile

A

fibroadenoma

32
Q

breast mass that is painless and immobile

A

possible breast cancer

33
Q

fibroadenoma DD
2

A

breast cyst
breast carcinoma

34
Q

fibroadenoma education
2

A

these are typically benign masses
perform a self-breast exam monthly to monitor this mass

35
Q

fibroadenoma medication

A

none - may need surgical intervention if bothersom

36
Q

fibroadenoma test
3

A
  1. < 30 breast US to determine solid from cystic masses
  2. > 35 then a mammogram or US can be performed
  3. definitive test is a breast tissue biopsy
37
Q

fibroadenoma f/u

A

every 6 months until stable and then yearly

38
Q

fibroadenoma red flags
3

A
  1. worsening of symptoms
  2. mass begins to proliferate
  3. new breast changes such as changes to your skin, nipples, discharge or more
39
Q

Infertility

A

failure to achieve successful pregnancy after 12 months or more of regular, unprotected sex

40
Q

failure to achieve successful pregnancy after 12 months or more of regular, unprotected sex

A

infertility

41
Q

Infertility evaluation and tx should be initiated at what stage for women < 35 and >35

A

< 35, 12 months
>35, 6 months

42
Q

Infertility DD
2

A

PCOS
endometriosis

43
Q

Infertility education
3

A
  1. quit smoking
  2. reduce excessive caffeine intake and alcohol intake
  3. have appropriate timing and frequency of sex
44
Q

Infertility meds

A

May involve drug therapies, surgery, and/or procedures such as IVF

45
Q

Infertility tests
4

A
  1. semen analysis
  2. assess ovarian reserve (blood test)
  3. HSG test to check fallopian tube patency (x ray with contrast)
  4. SIS test to assess uterine cavity (saline with US)
46
Q

Infertility f/u

A

in 4 weeks to discuss lab and imaging results, from here we can make the appropriate referrals

47
Q

Infertility AG
3

A
  1. cervical cancer screening
  2. STD screening
  3. get vaccinated
48
Q

Infertility red flags
4

A
  1. irregular cycle
  2. upper body weight gain
  3. growing abnormal facial hair
  4. increase in acne

OSCI (20 decks)

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