Complicated VVC
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Recurrent (RVVC) 4 or more episodes in one year
Severe - edema, excoriation, fissure formation
Non-albicans strain
Compromised host
Levator ani
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Illiococcygeus and Pubococcygeus
support the pelvic viscera and provides sphincter-like
action in anal canal and vagina
,Where are you aiming to collect cells from for a pap smear?
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The squamous columnar junction (transformation zone)
treatment of partner required in:
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BV - No
Trich - Yes
Candidiasis- No
As a general principle, HIV diagnosis makes you _____ vulnerable to STI co-infection,
and vice versa
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more
,What initiates cramps leading to menses in the menstrual cycle?
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Loss of corpus luteum production of progesterone causes
the involution of the endometrium and shrinking of spiral arteries, enzyme
release between endometrial layers
prostaglandin release causes cramping/pain
Yuzpe method
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0.1mg of ethinyl estradiol, PLUS at least 0.5mg levonorgestrel
OR 1mg norgestrel
Take this dosage twice 12 hours apart
Cervical biopsy
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May be indicated for visible exophytic lesions on cervix, or for pap test
with HSIL, ASC-H, or other findings
chlamydia screening
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women <25 screen annually
women >25 screen prn based on risk factors
Contraindications for COC use
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Women >35 who smoke >15 cigarettes / day
Women >40 with any smoking
Thromboembolic disorders (DVT)
Severe cirrhosis, liver tumors
Lupus
CVA hx, Ischemic CAD, Vascular disease, complicated valvular dx,
Migraine WITH aura
current breast cancer
Neuropathic DM
Suspected pregnancy
BV risk factors
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multiple sex partners
douching
lack of barrier use
hygiene
absence or dec in lactobacilli, or few H2O2 producing lactobacilli
Give this one a try later!
Recurrent (RVVC) 4 or more episodes in one year
Severe - edema, excoriation, fissure formation
Non-albicans strain
Compromised host
Levator ani
Give this one a try later!
Illiococcygeus and Pubococcygeus
support the pelvic viscera and provides sphincter-like
action in anal canal and vagina
,Where are you aiming to collect cells from for a pap smear?
Give this one a try later!
The squamous columnar junction (transformation zone)
treatment of partner required in:
Give this one a try later!
BV - No
Trich - Yes
Candidiasis- No
As a general principle, HIV diagnosis makes you _____ vulnerable to STI co-infection,
and vice versa
Give this one a try later!
more
,What initiates cramps leading to menses in the menstrual cycle?
Give this one a try later!
Loss of corpus luteum production of progesterone causes
the involution of the endometrium and shrinking of spiral arteries, enzyme
release between endometrial layers
prostaglandin release causes cramping/pain
Yuzpe method
Give this one a try later!
0.1mg of ethinyl estradiol, PLUS at least 0.5mg levonorgestrel
OR 1mg norgestrel
Take this dosage twice 12 hours apart
Cervical biopsy
Give this one a try later!
May be indicated for visible exophytic lesions on cervix, or for pap test
with HSIL, ASC-H, or other findings
chlamydia screening
, Give this one a try later!
women <25 screen annually
women >25 screen prn based on risk factors
Contraindications for COC use
Give this one a try later!
Women >35 who smoke >15 cigarettes / day
Women >40 with any smoking
Thromboembolic disorders (DVT)
Severe cirrhosis, liver tumors
Lupus
CVA hx, Ischemic CAD, Vascular disease, complicated valvular dx,
Migraine WITH aura
current breast cancer
Neuropathic DM
Suspected pregnancy
BV risk factors
Give this one a try later!
multiple sex partners
douching
lack of barrier use
hygiene
absence or dec in lactobacilli, or few H2O2 producing lactobacilli
