Term
| Frothy grey vaginal discharge |
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Definition
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|
Term
| Other signs of trich vaginitis |
|
Definition
Soreness after sex
Strawberry red cervix |
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Term
|
Definition
| Mobile flagellated organisms |
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Term
|
Definition
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Term
| Thicker discharge from vagina |
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Definition
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Term
|
Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
| What type of bug is trich |
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Definition
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Term
|
Definition
Single 2 gm dose metronidazole
Or
1 week 500 mg bid
Treat both pt and partner |
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Term
|
Definition
| Gardenella is almost always cause of bacterial vaginosis |
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Term
|
Definition
1. Thin discharge
2. Ph > 4.5
3. Whiff test with koh (fishy)
4. Clue cells
Need 3/4 to dx |
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Term
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Definition
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Term
| Benefit of treating bacterial vaginitis in preggos |
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Definition
| Dec rate of preterm labor |
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Term
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Definition
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Term
|
Definition
Doxycycline 100 for 7 days
Azithromycin 1g 1 time |
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Term
| Low Abdo tenderness,mad exam tenderness, cervical motion tenderness |
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Definition
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Term
|
Definition
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Term
| treatment regimens for PID |
|
Definition
ORAL
1. oxofloxacin 400mg BID x 14 days
2. levofloxacin 500mg BID x 14 days +- metronidazole
3. ceftriaxone 250 IM x 1 dose
4. cefoxitin 2mg IM + probenecid + doxycycline 100 BID x 14d
IV
1. cefotetan
2. cefoxitin
3. clindamycin _ gentamicin
4. oxofloxacin 400
5. levo + metronidazole
6. amp/sulbactam + doxy
PS Tori, there is no way in hell I memorized all this bullshit...haha |
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Term
| what presenting features makes us think more of pneumonia vs URI |
|
Definition
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|
Term
gold standard to dx pneumonia
limitations? |
|
Definition
inflitrate on cxr
early on in course of pneumonia the cxr may be clear. |
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Term
| what are the lower respiratory infections |
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Definition
|
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Term
|
Definition
| infection of lung parenchyma |
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Term
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Definition
| inflammation of lungs from variety of noninfectious causes (blood radiation, autimmune) |
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Term
| most common mechanism to trigger pneumonia |
|
Definition
| upper airway colonization of pathogens that then get aspirated |
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Term
| most common bacteria that causes CAP |
|
Definition
strep
HIb
moraxella catarrhalis |
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Term
|
Definition
|
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Term
|
Definition
| ppl with underlying lung disease (copd) |
|
|
Term
| what are the atypical pneumonias |
|
Definition
mycoplasma
chlamydia
legionella |
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|
Term
| who gets typical vs atypical pneumonia |
|
Definition
very old and very young get typical
middle aged healthy ppl get atypical |
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Term
| difference on cxr of atypical vs typical pneumonia |
|
Definition
atypical is more diffuse, bilateral infiltrates
typical is more focal lobar infiltrates |
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Term
|
Definition
NG tube
intubation
preexisting lung disease
organ failure |
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Term
|
Definition
pseudomonas
klebseilla
acinetobacter
staph, mrsa |
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Term
| pneumonia that comes with diarrhea |
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Definition
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Term
|
Definition
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|
Term
| ausculation of lungs in pneumonia |
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Definition
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Term
|
Definition
egophony is increased resonance of voice sounds when auscultating lungs
indicates consolidation |
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Term
| dullness to percussion usually means |
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Definition
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Term
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Definition
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Term
| bilateral ground glass appearing infiltrate |
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Definition
| pneumocystis carinii (HIV pts) |
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Term
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Definition
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|
Term
| what about a pt with signs of pneumonia and no growth on sputum culture |
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Definition
| culture has low sensitivity (many faslse negs) |
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Term
| unique tests for legionella and mycoplams |
|
Definition
legionella: urine antigen testing, flouroescent Ab testing
myco: flouroescent Ab testing |
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Term
| pneumonia severity index? |
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Definition
| assigns pts to a risk cateofry based on age, comorbidities, PE and lab findings |
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Term
| lab findings in pneumonia that indicate more serious infection |
|
Definition
low pH
low serum Na
low hct
low 02 sat
hi glu
hi BUN |
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Term
| how do you determine inpt vs outpt tx of pnuemonia |
|
Definition
pneumonia severity index
class 1 and 2 --> out pt
3+ --> inpt |
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Term
| tx healthy pts with pneumonia and no recent abx use. OUTPT |
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Definition
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|
Term
| pneumonia tx pts with comorbidities or with recent abx use as OUTPT |
|
Definition
any of these: levofloxacin, gemifloxacin, moxifloxacin
OR 1 of these:(amoxicillin, amox/clav, cefpodoxime) + macrolide |
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|
Term
|
Definition
levofloxacin, gemifloxacin, moxifloxicin
OR beta lactam + macrolide |
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
at least 72 hours for febrile pt or strep pneumo
everything else at least 2 weeks |
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Term
| maternal benefits of breast feeding |
|
Definition
more rapid return of uterine tone
reduced bleeding
weight loss
less risk of ovarian and breast feeding
cheap and easy |
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Term
| oral contraception post partum |
|
Definition
| progestin only. combined estrogen/prog interferes with milk |
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Term
|
Definition
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|
Term
| first appt after birth of baby |
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Definition
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Term
|
Definition
| infection of endometroium from ascending infection from vagina |
|
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Term
|
Definition
rbc
decidual cells
fibrinous products |
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Term
|
Definition
| return to normal uterine size |
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|
Term
| med to give to promote uterine involution |
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Definition
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|
Term
| if mother is not breastfeeding when will menstruation resume? |
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Definition
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Term
| normal lochia progression after birth |
|
Definition
brown/bloody for first week
white/yellow for next 3-6 weeks |
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Term
| when is breast engorgement most likely |
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Definition
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|
Term
| management of engorgement if mom is breas feeding |
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Definition
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Term
| management of engorgement if mom does not want to breast feed? |
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Definition
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|
Term
| most common cause of postpartum hemorrhage |
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Definition
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|
Term
| risk factors of uterine atony |
|
Definition
long labor
lots of oxytocin
big baby
5+ previous children |
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|
Term
| management of uterine atony |
|
Definition
massage
oxytocin
methylergonovine |
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|
Term
| methylergonovine contraindication |
|
Definition
|
|
Term
| prostaglandin contraindication |
|
Definition
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Term
|
Definition
| resolved by 10th post partum day |
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Term
|
Definition
| within 4 weeks postpartum usually |
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|
Term
| tx for postpartum depression |
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Definition
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|
Term
|
Definition
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|
Term
| first breast feeding consists of |
|
Definition
|
|
Term
|
Definition
|
|
Term
| when does milk letdown happen |
|
Definition
|
|
Term
| contraindications to breast feeding |
|
Definition
HIV
acute hep B
breast augmentation surgery |
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Term
|
Definition
| cephalexin or xicloxacillin |
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|
Term
| when can you resume sexual activity after delivery |
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Definition
|
|
Term
| if a mother is NOT breast feeding and wants OCP, when can you start it |
|
Definition
| wait 3 weeks post partum bc of increased risk of thrombosis |
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|
Term
| how long does breast feeding work at a high rate as a contraception |
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Definition
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|
Term
| most common cauess of postarptum hemorrhage |
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Definition
|
|
Term
| how long does copper iud last |
|
Definition
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|
Term
| postcoital conception options |
|
Definition
levonorgestrel (plan B)
mifepristine (RU 486) |
|
|
Term
| what do OCPs protect against |
|
Definition
ovarian cancer
endometrial cancer
IDA
PID
fibrocystic breast disease |
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|
Term
| MOA of the progestin only pill |
|
Definition
| reduces and thickend cervical mucus |
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|
Term
| absolute contraindications to hormonal contraceptions |
|
Definition
thrombosis risk
CVA
CAD
impaired LFT
breast ca
undiagnosed abnormal vag bleeding
pregnancy
smoker over 35
congenital hyperlipidemia |
|
|
Term
| can you use hormonal IUD in these cases? |
|
Definition
|
|
Term
|
Definition
| relative contraindication |
|
|
Term
|
Definition
| epilepsy drugs reduce efficacy of ocp |
|
|
Term
|
Definition
| ocp may exacerbate emergence of symptoms when gallstones are present |
|
|
Term
|
Definition
|
|
Term
| how long does medroxyprogesterone last |
|
Definition
|
|
Term
|
Definition
|
|
Term
| how effective is spremacide + condom |
|
Definition
|
|
Term
| instructions for use of diaphragm |
|
Definition
| must leave in at least 6 hours after intercourse |
|
|
Term
| what is a relative contraindication to IUD |
|
Definition
multiple sex partners
or
gonno, chlamydia
or
HIV |
|
|
Term
| what percentage of women will become pregnant after single act of sex w/o protection |
|
Definition
|
|
Term
|
Definition
|
|
Term
| what gives indicates cardiovascular risk more hi diastolic or systolic bp in a htn pt |
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Definition
|
|
Term
|
Definition
| should at encircle at least 80% of pts arm |
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|
Term
|
Definition
|
|
Term
| coal bp in pts with dm and htn |
|
Definition
|
|
Term
|
Definition
pt in chair (not table)
feet on floor
measure 2xs |
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|
Term
|
Definition
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| tx stage 1 htn in normal pt |
|
Definition
|
|
Term
| when might you start a pt initially on a 2 drug regimen for htn |
|
Definition
| if ther are over 20/10 aove their goal you can start with combo meds |
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|
Term
| in dm, what do you add after acei |
|
Definition
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