Brent Shared "PA Workbook Reproductive - 8" - 9 Picmonics
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PA Workbook Reproductive - 8
Pelvic Inflammatory Disease (PID)
- Mechanism
- Neisseria gonorrhoeae
- Chlamydia Trachomatis
- Symptoms
- Cervical Motion Tenderness
- Chandelier Sign
- Salpingitis
- Tubo-ovarian abscess
- Hydrosalpinx
- Complications
- Ectopic Pregnancy
- Infertility
- Adhesions
- Fitz-Hugh-Curtis Syndrome
2 mins
Polycystic Ovarian Syndrome (PCOS) Symptoms and Diagnosis
- Symptoms
- Most Common Cause of Infertility in Women
- Amenorrhea
- Acne
- Hirsutism
- Obesity
- Diagnosis
- Enlarged, Cystic Ovaries
- LH:FSH Ratio of 3:1
- "String of Pearls" on Ultrasound
1 min
Endometriosis Symptoms and Treatment
- Symptoms
- Dysmenorrhea
- Cyclic Pelvic Pain
- Dyschezia
- Dysuria
- Dyspareunia
- 30-40% are Infertile
- Treatment
- Surgery
- NSAIDs
- OCPs
- Progesterone (Progestins)
- GnRH Agonists
1 min
Cervical Cancer Screening
- Women Aged 21-65 Years
- Pap Smear Every 3 Years
- Women Aged 30-65 Years
- Can Opt for Co-testing (Pap Smear + HPV Testing) Every 5 Years
- Identify Lesions
- High grade lesions
- Cryotherapy
- Loop Excision
- Cold Knife Conization
2 mins
Preeclampsia Assessment
- After 20 Weeks of Pregnancy
- Mild
- Hypertension > 140/90
- Proteinuria or End-Organ Dysfunction
- Severe
- Hypertension > 160/110
- Progressive Renal Insufficiency
- Vision Changes
- HELLP Syndrome
- Pulmonary Edema
2 mins
Eclampsia
- Mechanism of Action
- Increased Central Nervous System Irritability
- Signs and Symptoms
- Hyperreflexia
- Positive Ankle Clonus
- Headaches
- Visual Disturbances
- Epigastric or RUQ Pain
- Seizures
- Coma
- Considerations
- Don't Leave Bedside
- Magnesium Sulfate
2 mins
Premature Rupture of Membranes (PROM)
- Pathophysiology
- Rupture > 1 Hour Before Labor
- Risk Factors
- Infection
- PROM History
- Incompetent Cervix
- Diagnosis
- Fern Test
- Nitrazine Paper Test
- Ultrasound
- Treatment
- Consider Tocolytics
- Consider Antibiotics
- < 34 Weeks Gestation
- Corticosteroids
- > 34 Weeks Gestation
- Induction of Labor
2 mins
Intraductal Papilloma
- Presentation
- Bloody nipple discharge
- Women 20-40 years old
- Mechanism
- Small tumor in lactiferous ducts
- Occurs Centrally
- Occurs Peripherally
- Increased malignancy
- Diagnosis
- Too Small to Palpate
- Galactogram biopsy
1 min
Placental Implantation Abnormalities
- Mechanism
- Placenta Adheres Directly to Myometrium
- Placenta Accreta
- Placenta Increta
- Placenta Percreta
- Caused by Scar Tissue
- Hemorrhage
- Diagnosis
- Ultrasound is First-line, then MRI
- Treatment
- C-section Delivery
- Artery Ligation or Embolization
2 mins
