Term
| % adolescents that forgo care so their parents don't know |
|
Definition
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|
Term
|
Definition
|
|
Term
| mean adolescent cycle length |
|
Definition
|
|
Term
| average adolescent bleeding length |
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Definition
|
|
Term
| average pads/tampons a day in adolescent |
|
Definition
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|
Term
| normal adolescent vaginal pH |
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Definition
|
|
Term
| cause of most discharge in newborns |
|
Definition
| milky to slight bloody due to maternal estrogen |
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|
Term
| incidence of labial adhesions |
|
Definition
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|
Term
| usual age of labial adhesions |
|
Definition
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|
Term
| conservative treatment labial adhesions - 4 |
|
Definition
| observe, avoid irritants, sits baths, emmolient 6-12mo |
|
|
Term
| how to do topical estrogen for labial adhesions |
|
Definition
| apply twice a day to gray median raphae for 2-6wk followed by nightly emollient |
|
|
Term
| when do surgically remove labial adhesion |
|
Definition
| urinary obstruction or failure of medical management |
|
|
Term
| prognosis labial adhesions - observation |
|
Definition
|
|
Term
| prognosis of labial adhesions - estrogen |
|
Definition
| 80-100% resolve but 41% recur |
|
|
Term
| recueence rate after surgery for labial adhesions |
|
Definition
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|
Term
| average age of urethral prolapse |
|
Definition
|
|
Term
| risks for urethral prolapse - 4 |
|
Definition
| AA, Hispanic, chronic constipation, chronic lung disease |
|
|
Term
| treatment urethral prolapse |
|
Definition
| sits baths, estrogen BID 1-4wk |
|
|
Term
| when do you biopsy lichen sclerosis |
|
Definition
| atypical presentation, not responding to therapy |
|
|
Term
| initial management for lichen sclerosis |
|
Definition
| eliminate irritants, improve hygiene, emollient, twim nails, consider hydroxyzine PRN |
|
|
Term
| if fails initial management what is second step for lichen sclerosis |
|
Definition
| topical Clobetasol 0.05% BID x2wk then daily x2wk then 3x/d x2wk |
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|
Term
| prognosis lichen sclerosis |
|
Definition
| 75% resolves with puberty |
|
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Term
|
Definition
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|
Term
|
Definition
| remove, irrigate, vaginoscopy, all preferred under anesthesia |
|
|
Term
| types of vulvovaginitis and incidence |
|
Definition
non-infectious/specific - 75%
infectious - 25% |
|
|
Term
| causes of non-specific vulvovaginitis (physiology) - 6 |
|
Definition
| thin epithelium, pH elevated, lack of fat pads, pubic pain, hygiene, obesity |
|
|
Term
| treatment of non-specific vulvovaginitis - 6 |
|
Definition
| hygiene, loose cotton underware, treat constipation, avoid irritants, sits baths, petroleum jelly |
|
|
Term
| #1 cause of vulvovaginitis it is an infection |
|
Definition
|
|
Term
| signs of S. pyogenes vulvovaginitis |
|
Definition
| 14% associated with scarlet fever, purulent discharge |
|
|
Term
| treatment S. pyogenes vulvovaginitis |
|
Definition
|
|
Term
| which vulvovaginitis has satellite lesions |
|
Definition
|
|
Term
| treatment of candidia in kids |
|
Definition
| nystatin, miconazole, clotrimazole, tetraconazole |
|
|
Term
|
Definition
| enterobiasis vermicularis |
|
|
Term
|
Definition
|
|
Term
|
Definition
| albendazole, melbendazole |
|
|
Term
| labial hypertrophy 1st line therapy - 3 |
|
Definition
| reassurance, barriers/emollient, tucking |
|
|
Term
| labial hypertrophy #1 complication of second line therapy |
|
Definition
| labiaplasty #1 complication regret |
|
|
Term
| #1 female reproductive tract anomaly |
|
Definition
| imperforate/abnormal hymen |
|
|
Term
| incidence of imperforate hymen |
|
Definition
|
|
Term
| cause of imperforate hymen |
|
Definition
| urogenital sinus forms lower vagina, vaginal plate cells have incomplete degeneration |
|
|
Term
| describe the types of imperforate hymen 9 |
|
Definition
complete - no opening
microperforate - very tiny opening
cribiform - multiple pokes
septate - two larger openings
crescentric - shallow moon
fimbriated - thin armed star
labial - thin strip in middle
annular - hole bigger than microperforate
denticular - larger wavy hole
dentate - smaller wavy hole
lunar - dramatic crescent |
|
|
Term
| management of imperforate hymen |
|
Definition
| office resection at puberty |
|
|
Term
| signs of straddle injury - 3 |
|
Definition
| vulvar hematoma, lacerations, abrasions |
|
|
Term
| management of straddle injury - 6 |
|
Definition
| mark edges, serial HCT, serial rectal exams, foley, ice, surgery |
|
|
Term
| when do you do surgery for straddle injury 2 |
|
Definition
|
|
Term
| when do you do a vaginoscopy for a penetrating injury |
|
Definition
| bleeding is above hymen but without obvious lacerations in the vaginal vault |
|
|
Term
| when do you do a laparoscopy for a penetrating injury |
|
Definition
| lacerations in the vaginal vault |
|
|
Term
| forensic evidence should be taken woth ___h of a sexual assault |
|
Definition
|
|
Term
| condyloma >__yo is concerning for abuse |
|
Definition
| 2yo (<2yo probabby from maternal child) |
|
|
Term
| cancers that may cause bleeding in adolescent - 6 |
|
Definition
| hemangioma, granulosa cell, sarcoma, adenocarcinoma, endodermal sinus tumor, Mullerian papilloma |
|
|
Term
| % of adolescents with AUB |
|
Definition
| 75% within 2y of menarche |
|
|
Term
| when to initiate work up for adolescent AUB- 4 |
|
Definition
| intermenstrual period >3mo, >7d bleeding, pads needed every 1-2h, hBG <12 |
|
|
Term
| ___ and a HBG <__ is associated with coagulopathy __% of the time |
|
Definition
|
|
Term
| #1 management of HMB in girls with HBG <___ is ___ |
|
Definition
|
|
Term
| #1 inherited bleeding disorder |
|
Definition
|
|
Term
|
Definition
|
|
Term
| VWF is associated with what clotting factor |
|
Definition
|
|
Term
| 3 types of VWd and their inheritance and cause |
|
Definition
1 - AD, most common, quantative
2 - AD, qualitative
3 - AR, severe, no VWF |
|
|
Term
|
Definition
| HMB 95%, bleeding with minor injury or syrgery 92%, gum bleeding 76%, menses >7d, anemia |
|
|
Term
| what can interfere with VWd testing |
|
Definition
|
|
Term
|
Definition
| DDAVP/vasopressin, clotting factor infusions, hormonal contraception, TXA |
|
|
Term
| #1 cause of CPP in adolescents |
|
Definition
| somatization - stress, sexual abuse, violence in the home, family/personal substance abuse, other psychosocial factors |
|
|
Term
| definition of adolesent CPP |
|
Definition
| recurrent or persistent pain for at least 3mo |
|
|
Term
| __% of CPP not responsive to medical management is _____ |
|
Definition
|
|
Term
| % of adolescents reporting dysmenorrhea |
|
Definition
|
|
Term
| first line treatment for adolescent dysmenorrhea |
|
Definition
|
|
Term
| second line treatment for adolescent dysmenorrhea |
|
Definition
|
|
Term
| when to proceed with laparoscopy for CPP/dysmenorrhea in adolescent - 5 |
|
Definition
| unresponsive to OCPs/NSAIS for 3-6mo, suspect PID/appendicitis, painful irregular VB, progressive pain, pelvic mass |
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