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OBGYN treatments
treatments OBGYN
17
Anatomy
Graduate
08/25/2011

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Term
Bacterial Vaginosis tmt:
Definition
Metronidazole (Flagyl) 500 mg po BID x 7 days

OR

Metronidazole 2 g po one time dose. Higher recurrence rate.

OR

Clindamycin 300 mg po BID x 7 days
Term
Bacterial Vaginosis in pregnant woman tmt:
Definition
- Metronidazole 250 mg po tid x 7 d
- Clindamycin 300 mg po bid x 7 d
Term
Candidal Vaginitis treatment:
Definition
Diflucan (Fluconazole) 150 mg po ONCE
Term
Trichomoniasis tmt:
Definition
Metronidazole 2 grams po once.

Treat partner also.

Topicals do NOT work for Tricho.
Term
Atrophic Vaginitis treatment:
Definition
- HRT oral: Premarin 0.3-1.25 mg/d po

- Topical estrogen (Vagifem, Premarin, Estrace) 1/2 to 1 applicator full (2-4 grams) intravaginally QHS x2 weeks, and then twice a week thereafer
Term
The only antibiotic that works for Gonorrhea:
Definition
Ceftriaxone (Rocephin)
Term
Gonorrhea tmt:
Definition
- Cephtriaxone 250 mg IM + Azithromycin 1000 mg PO once

OR

- Cephtriaxone 250 mg IM once + Doxycycline 100 mg PO BID x 7 days

First one is preferred, Kested never gives Doxycyline to women b/c so bad if they are pregnant
Term
Chlamydia tmt:
Definition
- Azithromycin (Zithromax) 1 gm (1000 mg) po once

OR

- Doxycylcine (Doryx, Bio-Tab, Vibramycin) 100 mg po bid x 7 days
Term
HSV warts treatment:
Definition
Imiquimod (Aldara)

Put it on at night, wipe it off in morning or in 8 hours. Wait 2 more days and then do it again. Do this for 4 weeks. If this doesn’t work can try trichloric acetic acid. Even if warts are cosmetically gone, they can still shed the virus and be sexually transmitted.

Try not to get Aldara to touch rest of skin> inflammation and burning. Put on aldara every other night.
Term
Tmt for atrophic vaginitis:
Definition
Clobetasol proprionate
Term
what age group is HPV vaccine indicated for?
Definition
- 11-12 y/o

FDA has approved HPV vaccine for ages 9-26. These are the ages that Medicare will cover. If pt has to pay it on their own, send them to the Health Department and it will be a little cheaper.

Each injection is $120 and you have an office visit and injection fee, so can be about $250 a shot without insurance.
Term
Treponema pallidum treatment:
Definition
Benzathine penicillin G, 2.4 million units IM, one dose
Term
Lichen sclerosis acute and chronic treatments:
Definition
- acute: Clobetasol proprionate 0.05%
- chronic: Testosterone proprionate 2%
Term
main presenting symptoms of lichen sclerosis:
Definition
- intense pruritis
- dyspareunia
Term
Squamous cell hyperplasia presenting symptom:
Definition
- itching

PE: elevated localized lesions, white and red plaques, weeping crusts

Tmt:
- steroids
Clobetasol proprionate 0.05% bid unitil symptoms resolve and then diff less potent topical steroid
Term
presenting symptoms of invasive cancer of the vulva:
Definition
- PRURITIS
- MASS
- pain
- bleeding
- ulceration
- discharge
Term
Tmt of mastitis:
Definition
Dicloxacillin
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