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FINAL > Womens Health Tx > Flashcards

Womens Health Tx Flashcards

1
Q

Bacterial Vaginitis

A

Metronidazole either orally or vaginal application

or clines cream/ovule daily

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2
Q

Candidal vaginitis

A

anti fungal vaginal creams
-conazole 1-7 nights
or Fluconazole orallyx1

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3
Q

Trichimonas

A

Metronidazole orally and treat the partners

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4
Q

Condylomata acuminata

A

podophyllin, electrocautery, liquid nitrofen, imiquimod cream

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5
Q

Chancroid

A

Azithromycin 1g po

or Ceftriaxone IM

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6
Q

Cervical dysplasia

A

Cautery, cryosurgery, CO2 laser, loop resection, conization

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7
Q

cervical carcinoma

A

stage, hysterectomy, +/- chemotx/radiation

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8
Q

Chlamydia

A

Azithro 1gPO or Doxycylcline or erythromycin or quinolone

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9
Q

Gonorrhea

A

ceftriaxone IM plus either azithro or doxy

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10
Q

Herpes Simplex

A

5-10 days

acyclovir or famciclovir or valacyclovir

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11
Q

Syphilis

A

Benzathine penicillin G IM or Doxy

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12
Q

PID

A

OutPt: Ceftriaxone IM and Doxy BID for 14 days
InPt: Clindamycin and Gentamycin loading, then doxy for 14d outpatirnt

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13
Q

Endometriosis

A

Hormonal- OC, progestins, GnRH agonists (lupin)

Surgical- excision vaporization and coagulation of the tissue, hysterectomy option

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14
Q

Leiomyoma

A

OC, Prgestin IUD, GnRH analogs, surgical options

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15
Q

Endometrial Cancer

A

TAH/BSO- total hysterectomy and bilateral sapling-oophorectomy

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16
Q

PCOS

A

weight loss first line, OCP, Depo, metformin, spironolactone for the hirsutism

17
Q

Ovarian CArcinoma

A

Surgical excision, chemo,

- most are mets by diagnosis

18
Q

Oral contraceptions

A
  • usually progesterone and estrogen
    advantage- reduce endometrial and ovarian cancers, improve acne, decrease dysmenorrhea
    disadvantage- pills daily, no STI protection, cardio risks- DVT, PE, MI, Stroke
19
Q

Progestin only mini pill

A

best for breastfeeding women, fewer complcuications, higher risk of BTB, amenorrhea, breast tenderness

20
Q

IUD

A

copper (can be postcoital) and progesterone

21
Q

COntaindications or contraceptives

A

Absolute- previous PE/DEVT, hx of estrogen-dependent tumor, pregnancy, active live dz, undiagnosed abnormal bleeding, hypertriglyceridemia, over 35y and smokes over 15cigs/day
Realtive- poorly controlled HTN, patients on anticonvulsant therapy, over 35 with migraines, any age with aura and migraines, diabetics may need insulin increase

22
Q

Menopause

A

vasomotor sx- estrogen (no uterus), progesterone/ estrogen, SSRI, SNRI, gabapentin, clonidine
Vaginal Atrophy- estrogen intravaginally
Osteoporosis- exercise, daily calcium and Vit D

23
Q

Fibrocystic Breast Disease

A

avoid caffeine and chocolate, Vit E? OCP?

24
Q

Mastitis

A

continued expression of milk, heat, antibiotic

25
Q

Breast Cancer

A

surgery- lumpectomy, mastectomy
radiation
hormonal therapy- tamoxifen (anti estrogen)
chemotherapy- Doxorubicin (Adriamycin)

26
Q

Ectopic Pregnancy

A

Labroscopy, methotrexate if early. test Rh!

27
Q

Hyperemesis of Pregnancy

A

hospitalize if needed, IV fluids, Vitamin B6 (pyridine, +/- TPN

28
Q

Gestational Diabetes

A

diet- 30kcal/kg/day and exercise, insulin NPH and regular. Oral- not endorsed but glyburide use becoming more prevalent
- metformin appears to be safe in 2nd and 3rd trimesters

29
Q

Pre-eclampsia

A

after 20wks, up to 2wks post
bedrest, AntiHTN (hydrazine, labetalol), fetal monitoring.
if severe- hospital, MafSO4 (seizure prophylaxis), steroids, delivery if over 36wks (also antiHTN and fetal monitoring)

30
Q

Eclampsia

A

MagSO4 and delivery, consider Diazepam

31
Q

Placenta abrptio and Previa

A

delivery- cesarean

32
Q

Gestational Trophoblastic Disease

A

surgical removal of mole, chemotherapy, methotrexate- prevents subsequent molar pregnancy

FINAL (5 decks)

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