Term
| #1 cause of preventable disease |
|
Definition
|
|
Term
| % of smokers that quit long term |
|
Definition
|
|
Term
|
Definition
|
|
Term
| #1 cause of death in women |
|
Definition
|
|
Term
| smokers who quit in pregnancy relapse by 6mo PP |
|
Definition
|
|
Term
| pregnant patients that smoke through to 3T |
|
Definition
|
|
Term
| pregnant patients that smoked in pre-conception |
|
Definition
|
|
Term
|
Definition
| decreased endometrial cancer, stress/anxiety, pleasure/dopamine |
|
|
Term
| cancers caused by smoking - 10 |
|
Definition
| lung, larynx, esophagaus, nose, pancreas, stomach, bladder, cervix, myeloid |
|
|
Term
| medical conditins caused by smoking - 9 |
|
Definition
| CVD, CAD, MI, PVD, COPD, PUD, cavities, wrinkles, osteoporosis |
|
|
Term
| GYN issues caused by smoking - 3 |
|
Definition
| infertility, abnormal bleeding, premature menopause |
|
|
Term
| complications of second hand smoke - 4 |
|
Definition
| childhood asthma and obesity, colic, SIDS 24% |
|
|
Term
| complications in pregnancy of second hand smoke - 8 |
|
Definition
| LBW 20%, PRD, PROM, stillbirth, abruption, previa, ectopic, 7% mortality |
|
|
Term
| physiologic changes in pregnancy due to smoking - 8 |
|
Definition
| decreased O2 delivery, decreased placental capillaries, thickened villous membrane, CO makes carbodyhemoglobin which decreases O2, damage of DMA, decreased fetal lung development, fetal tachycardia, fetal RDS |
|
|
Term
| barriers to quitting smoking - 5 |
|
Definition
| weight gain 3-4kg, depression, UC flare, worsening of schizophrenia, cough |
|
|
Term
| how effective is group therapy for smoking |
|
Definition
|
|
Term
| how effective is hypnosis and acupuncture for smoking |
|
Definition
|
|
Term
| who is antismoking medications contraindicated in - 4 |
|
Definition
| vapers, light smokers, pregnancy, adolescents |
|
|
Term
| indications for nicotine patch - 3 |
|
Definition
| >10 cig/d, smoking within 30m of waking, initial quitting only not relapse |
|
|
Term
| how to dose nicotine patch |
|
Definition
|
|
Term
| most effective way to quit smoking |
|
Definition
| nicotine and group therapy |
|
|
Term
|
Definition
|
|
Term
| contraindications nicotine patch - 2 |
|
Definition
|
|
Term
| dosing of buproprion for quitting smoking |
|
Definition
| start 1wk before quitting, 150mg x3d then 150mg BID x60d up to 12wk |
|
|
Term
| contraindications to buproprion - 6 |
|
Definition
| MAOI, seizures, eating disorder, head trauma, alcoholism, SI |
|
|
Term
|
Definition
|
|
Term
|
Definition
| start 1wk before quitting, 0.5mg BID x3d then 1mg BID x12-24wk |
|
|
Term
|
Definition
| weird dreams, SI, nausea 30% |
|
|
Term
| 3 criteria for alcoholism |
|
Definition
| >7d/wk, >3d at once, drinking in pregnancy or other medical condition contraindicated |
|
|
Term
|
Definition
T - tolerance >2 is 2pt
A - annoyed - 1pt
C - cut down - 1pt
E - eye opener - 1pt
2pt is high risk |
|
|
Term
|
Definition
|
|
Term
| % of pregnant women on opioids |
|
Definition
|
|
Term
| % opioids used inapparopirately prescribed by doctors |
|
Definition
|
|
Term
| SE of DC of opioids in pregnancy - 3 |
|
Definition
| PTL, fetal distress, fetal demise |
|
|
Term
| SE of tapering opioids in pregnancy |
|
Definition
|
|
Term
| SE of using opioids in pregnancy - 5 |
|
Definition
| IUGR, abruption, PTD, death, mec |
|
|
Term
| do you need to report opioid use in pregnancy |
|
Definition
|
|
Term
| do you need to screen for opioid use in pregnancy |
|
Definition
| yes legally in most states |
|
|
Term
| legal ramifications of opioid use in pregnancy in most states - 3 |
|
Definition
| child abuse, assault, civil commitment |
|
|
Term
|
Definition
|
|
Term
| goal of methadone use in pregnancy |
|
Definition
| keep opioids at a steady state and prevent withdrawal |
|
|
Term
| pain medication for pregnancy that can be helpful in opioid addiction other than NSAID, Tylenol, etc |
|
Definition
|
|
Term
| signs of opioid withdrawal - 9 |
|
Definition
| hyperventilation, dyspnea, restlessness, fever, emesis, shivering, fear, diarrhea, cramps |
|
|
Term
| indications for naloxone - 3 |
|
Definition
| somnolence, hypotension, respiratory distress |
|
|
Term
|
Definition
preconception
contemplation
preparation
action
maintinence
relapse |
|
|
Term
|
Definition
Ask - identify the issue
Advise - educate
Assess - willingness
Assist - Rx, BH
Arrange - follow up |
|
|
Term
|
Definition
Relivence - why
Risks - of use
Rewards - of quitting
Road blocks
Repetition |
|
|
Term
| screening questions for substance abuse - 4 |
|
Definition
| parents, partner, past, present |
|
|
Term
| lifetime risk of depression |
|
Definition
|
|
Term
| females have depression __X higher than males |
|
Definition
|
|
Term
|
Definition
|
|
Term
| % that if have one episode of depression will have another |
|
Definition
|
|
Term
| % that if had 2 episodes of depression will have a third |
|
Definition
|
|
Term
| % of those with depression that commit suicide |
|
Definition
|
|
Term
| indications for depression screening - 11 |
|
Definition
| recent life event, lack of support, illness, sadness, decreased energy, apathy, irritability, anxiety, sexual dysfunction, unexplained physical symptoms, increased medical use without caue |
|
|
Term
| which PHQ is used for which population |
|
Definition
| 2- not at risk, 9 - at risk |
|
|
Term
|
Definition
have you in the past 1mo felt down, depressed, or hopeless?
in the past 1mo have you been bothered by those symptoms or had little interest or pleasure in doing things? |
|
|
Term
|
Definition
0-4 normal
5-9 mild - close follow up
10-14 - moderate - consider BH/Rx
15-19 - mod/sev - BH/Rx
20+ - severe - immediate Rx, expedited referral |
|
|
Term
| suicide screening questions |
|
Definition
| thoughts, plan, what is the plan |
|
|
Term
|
Definition
need 1 - depressed mood, little interest or pleasure in activities
need 4 of SIGECAPS |
|
|
Term
| what are the parts of SIGECAPS |
|
Definition
| change in sleep, irritability, feelings of guilt or worthlessness, low energy, impaired concentration, change in appetite or weight, psychomotor increase or decrease, thoughts of suicide or death |
|
|
Term
| causes of depression - 10 |
|
Definition
| substance abuse, BB, methyldopa, benzos, steroids, acuntane, hypothyroid, cancer, parkinsons, dementia |
|
|
Term
| when to refer for depression - 6 |
|
Definition
| failure to respond to medications, suicidial, bipolar, physical symptoms unexplained, clinical deteroriation, drug reaction |
|
|
Term
|
Definition
| 2-6mo of depression related to greif that resolves without treatment |
|
|
Term
| what type of depression is at risk in menipause |
|
Definition
|
|
Term
| treatment of depression in menopause |
|
Definition
| same, but consider HRT E2 may help |
|
|
Term
| most studied medication for adolescents with depression |
|
Definition
|
|
Term
| SSRI that does not help at all in adolescents with depression |
|
Definition
|
|
Term
| indication for SNRI in adolescent with depression - 1 |
|
Definition
| major unipolar depression, treatment resistant depression - but overall due to SE adolescents were more likely to DC so in the long run SSRIs did better |
|
|
Term
| indication for TCAs for adolescents with depression |
|
Definition
|
|
Term
| indications for TCAs in depression treatment - 2 |
|
Definition
| pain and insomnia predominant symptoms |
|
|
Term
| 2 antidepressants with highest anticholinergic side effects |
|
Definition
| 1 TCA, 2 paxil - rest have none |
|
|
Term
| 2 antidepressants with most fatigue as side effect |
|
Definition
| 1 TCA, 2 paxil, - rest have none |
|
|
Term
| 4 antidepressants with highest insomnia |
|
Definition
| Prozac, sertraline, Cymbalta, effexor |
|
|
Term
| antidepressant with the least insomnia |
|
Definition
|
|
Term
| antidepressant with highest GI SE - 3 |
|
Definition
| Cymbalta, Effexor, sertaline |
|
|
Term
| antidepressant with 2nd highest GI SE - 3 |
|
Definition
| buproprion, SSRIs the rest, TCA |
|
|
Term
| #1 antidepressant causing weight gain |
|
Definition
|
|
Term
| #2 antidepressant causing weight gain |
|
Definition
|
|
Term
| antidepressant that causes no weight gain |
|
Definition
|
|
Term
| #1 antidepressant lowering libido |
|
Definition
|
|
Term
| #2 antidepressant lowering libido |
|
Definition
|
|
Term
| antidepressant that does not lower libido |
|
Definition
|
|
Term
| rate of depression in pregnancy |
|
Definition
|
|
Term
|
Definition
|
|
Term
| rate of relapse if a lady stops her SSRI "for her pregnancy" |
|
Definition
|
|
Term
| risks for depression in pregnancy - 5 |
|
Definition
| support, history of, young, abuse, unplanned pregnancy |
|
|
Term
| potential cause of increased depression in pregnancy |
|
Definition
|
|
Term
| when should you screen for depression in pregnancy |
|
Definition
|
|
Term
| effectiveness of the postpartum depression screening scale |
|
Definition
| 13+ points has 86/78 SS for PP major depression |
|
|
Term
| fetal complications depression in pregnancy |
|
Definition
| SMALLER HEAD CIRCUMFERENCE, cognitive, neuro, motor, psych impairment |
|
|
Term
| most studied depression medication in pregnancy |
|
Definition
|
|
Term
| SSRI that causes fetal heart defects |
|
Definition
|
|
Term
| signs of neonatal SSRI withdrawal - 8 |
|
Definition
| usually >20wk use of SSRI, jittery, RDS, TTN, weak cry, weak tone, NICU admit, pulmonary hypertension |
|
|
Term
| signs of benzo use in baby - 8 |
|
Definition
| floppy infant, sedation, clefts |
|
|
Term
| types of PP depression associated with stillbirth -2 |
|
Definition
| postpartum grief, postpartum adjustment disorder |
|
|
Term
| types of PP depression - 3 |
|
Definition
| blues, depression, psychosis |
|
|
Term
| postpartum greif onset and duration |
|
Definition
| onset within 6-12mo, duration 2y |
|
|
Term
| postpartum adjustment disorder onset |
|
Definition
|
|
Term
| signs of postpartum greif - 4 |
|
Definition
| temporary impairment in day to day function, retreat from social activities, intrusive thoughts, numbness |
|
|
Term
| signs of postpartum adjustment |
|
Definition
| greif beyond normal but not meeting criteria for depression or anxiety |
|
|
Term
| incidence of postpartum blues |
|
Definition
|
|
Term
| incidence of postpartum depression |
|
Definition
|
|
Term
| incidence of postpartum psychosis |
|
Definition
|
|
Term
| postpartum blues onset and duration |
|
Definition
| within 3-4d, lasting <2wk |
|
|
Term
| postpartum depression onset and duration |
|
Definition
|
|
Term
| postpartum psychosis onset and duration |
|
Definition
| within 24-48h, duration depends on treatment |
|
|
Term
| signs of postpartum blues - 5 |
|
Definition
| mood liable, irritable, tearful, sadness, anxiety |
|
|
Term
| signs of postpartum depression - 3 |
|
Definition
| SIGECAPS, preoccupation with infant health, impaired bonding |
|
|
Term
| signs of postpartum psychosis - 6 |
|
Definition
| severe agitation, delusions, hallucinations, disorientation, sleeplessness, disorganized throughts |
|
|
Term
| incidence of premenstrual syndrome |
|
Definition
|
|
Term
| % of PMS associated with other affective disorders |
|
Definition
|
|
Term
| definition of premenstrual syndrome |
|
Definition
| >3mo in a year of symptoms in the luteal and not follicular period |
|
|
Term
|
Definition
| neurotransmitter reaction with sex steroids and dysregulation of serotonin |
|
|
Term
|
Definition
| >30yo, genetics - NOT SES, culture, stress |
|
|
Term
|
Definition
| symptom diary for 2-3C with follicular free period, calendar of premenstural experiences (CPOE), prospective record of impact of severity of menstruation (PRISM) |
|
|
Term
| treatment of PMS medications - 5 |
|
Definition
| fluoxetine QD or CD 14-1, alprazolam, GNRH agonist, danzol, OCPs with drospirone(possible) |
|
|
Term
| non-medication and non primary therapy treatments that may possibly help PMS - 7 |
|
Definition
| diuretics, spironolactone, exercise, relaxation, angus cactus flower, Ca, bright light therapy |
|
|
Term
| how to choose which medication for PMS |
|
Definition
mild distress - non-Rx therapy
SES dysfunction - SSRI, OCP w drospirnerone
Resistant - GNRH agonists with OCP add back |
|
|
Term
| define premenstrual dysphoric disorder |
|
Definition
| severe PMS for most months of the year with significant life impact |
|
|
Term
|
Definition
| must have 5 - mood swings, sudden sadness, depression/self-critical, tension/anxiety, decreased concentration, change in appetite, loss of interest, overwhelmed, change in sleep, gyn sx (boob pain, bloating, achy) |
|
|
Term
|
Definition
| SSRI 1st line QD or CD 14 to 1, OCPs extended cycle with drosperinone |
|
|
Term
|
Definition
| need - worry for 51% of days for 6mo. need 3 - restlessness, fatigue, decreased concentration, irritability, muscle tension, sleep disturbance |
|
|
Term
|
Definition
| anxiety about 1 specific thing |
|
|
Term
|
Definition
|
|
Term
| define adjustment disorder |
|
Definition
| GAD <3mo without a specific triggering event |
|
|
Term
|
Definition
| primal fear / fear of harm vs day to day compulsions |
|
|
Term
| 3 conditions related to anxiety that can pop up during pregnancy |
|
Definition
| postpartum panic disorder exacerbation, PP PTSD from obstetric experience, pregnancy triggered new onset OCD |
|
|
Term
| onset of bipolar disorder |
|
Definition
|
|
Term
| typical changes in bipolar symptoms during pregnancy - 3 |
|
Definition
| depressive episode, 60% have PP relapse, 45% postpartum psychosis |
|
|
Term
| most studied bipolar med that is safest for brestfeeding |
|
Definition
|
|
Term
| 3 bipolar meds not safe in breastfeeding |
|
Definition
| lithium, lamotrigine, queitapine |
|
|
Term
| typically onset of schizophrenia |
|
Definition
|
|
Term
| signs of schizophrenia - 5 |
|
Definition
| psychotic (#1 auditory hallucinations), negative (flat, no volitition, significant SES dysfunction) |
|
|
Term
|
Definition
| associated with teratogens, flu in the 2T, significant maternal stress |
|
|
Term
| % of adolescents that think their overweight |
|
Definition
|
|
Term
| % of adolescents trying to loose weight |
|
Definition
|
|
Term
| 5 screening questions for eating disorder |
|
Definition
| 2 yes is high risk - are you satsified with your eating pattern, do you eat in secret, does your weight affect the way you feel about yourself, FHX of eating disorder, personal history of eating disorder |
|
|
Term
| diagnosis of anorexia nervosa 4 things |
|
Definition
| <85% IBW, fear of gaining weight, distorted body image, amenorrhea |
|
|
Term
|
Definition
| BMI <17.5, hypotension, tachycardia, hypothermia, dry skin, brittle hair, foot swelling, decreased BS |
|
|
Term
| complications of anorexia - 17 |
|
Definition
| decreased growth, arrhythmia, infertility, dehydration, electrolyte abnormalities, decreased congition, seizure, vitamin deficiency, refeeding syndrome, osteoporosis, low WBC, PLT, HBG, accidental pregnancy, liver failure, pancreatitis, heart failure |
|
|
Term
| diagnosis of bulimia nervosa |
|
Definition
| binge/purge >/= 2d/wk for >/=3mo, not exclusively during times of anorexia |
|
|
Term
| signs specific to bulimia - 3 |
|
Definition
| dental erosions, Mallory Weiss tears, GI issues |
|
|
Term
| what is refeeding syndrome |
|
Definition
| after not eating for a long time electrolyte imbalances, esp K |
|
|
Term
| 1st line treatment for eating disorders and success rate |
|
Definition
| CBT, low relapse rate, 40% recovery |
|
|
Term
| indication for antidepressants in eating disorder |
|
Definition
| bulimia, anorexia only with comorbid anxiety/depression |
|
|
Term
| what antidepressant cant you use in eating disorder and why |
|
Definition
| buproprion, increased risk of seizure during a purge |
|
|
Term
| when to hospitalize someone with an eating disorder - 11 |
|
Definition
| unstable VS, <95F, arrhythmia, <70% IBW, very dehydrated, syncope, seizure, heart failure, liver failure, pancreatitis, mod-sev refeeding syndrome, significant electrolyte abnormalities |
|
|
Term
| rate of osteopenia and osteoporosis in eating disorder |
|
Definition
| osteopenia 90%, osteoporosis 40% |
|
|
Term
| primary recovery method of BMD in eating disorder |
|
Definition
|
|
Term
| prognosis of BMD after eating disorder |
|
Definition
| only likely reach 95% total BMD if in peak developmental period |
|
|
Term
| supplementation of Ca/D in eating disorder for osteoporosis prevention |
|
Definition
| 1300mg Ca/d, 400-1000U D/d |
|
|
Term
| prevention of osteoporosis in eating disorder - 2 |
|
Definition
| Ca/D supplementation, OCPs did not increase BMD but physiologic estrogen replacement did increase spine and hip BMD |
|
|
Term
| define primary and secondary insomnia |
|
Definition
| primary - idiopathic. secondary - identifiable cause. |
|
|
Term
| define short and long term insomnia |
|
Definition
|
|
Term
| causes of short term insomnia - 11 |
|
Definition
| acute psych disturbance, change in environment, pain, surgery caffeine, BB, steroids, thyroid meds, inhalers, cocaine, meth, alcohol |
|
|
Term
| management of short term insomnia |
|
Definition
| sleep hygiene, stop the stressor |
|
|
Term
| components of sleep hygiene - 8 |
|
Definition
| only sleep in the bed, get out when rested, schedule sleep, no PM caffeine or alcohol, no smoking, make all room adjustments before getting in bed, make a list of worries for the morning |
|
|
Term
| causes of long term insomnia - 9 |
|
Definition
| chronic psych issues, chronic pain, chronic stress, illicit drugs, medications, dementia, SOB, OSA, RLS |
|
|
Term
| sleep med for short term only |
|
Definition
|
|
Term
| sleep med that causes "complicated sleep behaviors" - 2 |
|
Definition
|
|
Term
| sleep med that is a melatonin agonist |
|
Definition
|
|
Term
| contraindications of ramelton - 2 |
|
Definition
| liver disease, pregnancy on fluoxamine |
|
|
Term
| sleep med best for insomnia and depression - 3 |
|
Definition
| trazodone, doxipen, TCA/amitryptline |
|
|
Term
| complications of using Benadryl as a sleep med - 2 |
|
Definition
| it dosent work, also it makes old people crazy |
|
|
Term
| complications of use velerain as a sleep med |
|
Definition
| it dosent work, hepatotoxic |
|
|
Term
| how should melatonin be used as a sleep med |
|
Definition
|
|
Term
| complications of using alcohol as a sleep med |
|
Definition
| well alcoholism, but also youll just wake up in the middle of the night or have disturbed sleep |
|
|
Term
| 1:__ women's first intercourse is rape |
|
Definition
|
|
Term
|
Definition
|
|
Term
| 1:__ women have been raped, assaulted, or stalked |
|
Definition
|
|
Term
| 1:__ HS students have been raped, and 1:__ who are sexually active |
|
Definition
|
|
Term
| % of pregnancies as a result of partner violence |
|
Definition
|
|
Term
| % of disabled are at risk of sexual violence |
|
Definition
|
|
Term
| % of homeless that are fleeing from violence |
|
Definition
|
|
Term
| % of elderly that have been financially exploited |
|
Definition
|
|
Term
| who are the usual people abusing elders |
|
Definition
| adult children or their partners |
|
|
Term
|
Definition
| AA, >75yo, disabled, female with <12y education, single, cognitive impairment, lack of social ties, <$5000/y income, non-spousal household members |
|
|
Term
| signs of elder abuse - 14 |
|
Definition
| poor hygiene, poor nail care, weight loss, unkept/inappropriate attire, missing glasses, dentures, hearing aid, poor medication management, pressure ulcers, abrasions, bruises, burns, fractures (esp spinal), money issues |
|
|
Term
| reasons immigrants don't report IPV - 5 |
|
Definition
| fear of deportation, language barriers, acculturation, racism, accessability |
|
|
Term
| 1:__ runaways was a victim of sex trafficking |
|
Definition
|
|
Term
| signs of sex trafficking - 3 |
|
Definition
| inconsistent stories, appears well cared for, accompanied by someone who speaks for her |
|
|
Term
|
Definition
| depression, substance abuse, requesting pregnancy testing but not wanting to be pregnant, new/recurring STI, asking for STI testing, expressing fear about addressing condom use |
|
|
Term
| times to screen for IPV - 6 |
|
Definition
| annually, pre-conception visits, family planning visits, NOB, qTrimester, PP |
|
|
Term
| pregnancy complications of IPV - 12 |
|
Definition
| unitended pregnancy, poor weight gain, infection, anemia, stillbirth, pelvic fracture, abruption, fetal injury, PTD, LBW, late to care, missed apts |
|
|
Term
| medical complications of IPV - 13 |
|
Definition
| HA, chronic pain, sexual dysfunction, vaginitis, depression, anxiety, sleep issues, appetite issues, STIs, mental illness, homelessness, death |
|
|
Term
| signs of sexual cohersion - 7 |
|
Definition
| impregnating against will, forcing miscarriage abortion or carrying the pregnancy, forcing unprotected sex, intention STI/HIV exposure, interfering with sterilization, controlling access to GYN, interfering with contraception method |
|
|
Term
| define intimate partner violence and 8 types |
|
Definition
| pattern of assaultive and cohersive behavior - physical injury, psychological abuse, sexual assault, progressive isolation, stalking, deprivation, intimidation, reproductive coersion |
|
|
Term
| define sexual assault and 2 types |
|
Definition
| crime of assault or aggression - coercion, rape |
|
|
Term
|
Definition
| oral, anal, vaginal penetration of vulnerable, intoxicated, or persons unable to consent |
|
|
Term
|
Definition
| assailant is known to the victim, aka acquaintance rape |
|
|
Term
|
Definition
| sexual assault of someone <14yo |
|
|
Term
|
Definition
| consensual sex with someone younger than the age to consent |
|
|
Term
|
Definition
| behavior intended to maintain power in a relationship related to reproductive health by intimate partner |
|
|
Term
| define elder abuse - 4 parts |
|
Definition
| neglect, abandonment, financial exploitation, misuse of power of attorney by an individual or facility |
|
|
Term
|
Definition
| elder with capacity to make good decisions for their sake but does not |
|
|
Term
| risks for sexual assault - 10 |
|
Definition
| <24yo, college, female, prior sexual assault, homosexual, military, homeless, disabled, drugs, alcohol |
|
|
Term
| medications used in sexual assault - 3 |
|
Definition
| rohypnol, ketamine, gamma-hydroxybutyrate |
|
|
Term
| medications to give after a sexual assault - 7 |
|
Definition
| ceftriaxone 250mg IM, azithromycin 1g PO, metronidazole 2g PO, hepatitis B vaccine if indicated, HPV vaccine if indicated, emergency contraception, HIV PPX if within 72h |
|
|
Term
| what labs do you need to get before giving HIV PPX - 3 |
|
Definition
|
|
Term
| labs (5) to order after a sexual assault and how often (5 time periods) |
|
Definition
| now, 2w, 6w, 3m, 6m. KOH, WP, GC, HIV, RPR |
|
|
Term
| signs of rape trauma syndrome - 4 |
|
Definition
| physical reaction, flash backs, nightmares, GYN symptoms |
|
|
Term
| health problems increased in LBT community - 13 |
|
Definition
| obesity, smoking, depression, suicide, substance abuse, DM2, CVD, pulmonary disease, homelessness, violence, survival sex, STIs, cancers |
|
|
Term
| cancers increased in the LBT community - 5 |
|
Definition
| lung, breast, ovary, uterine, colon |
|
|
Term
| risk factors for increased suicidality in the LBT community - 7 |
|
Definition
| <20yo, discovered early in adolescence orientation, family rejection, violence due to identity, Etoh, drugs, social marginalization (racism) |
|
|
Term
| requirements for adolescents before gender transition - 2 |
|
Definition
| must be seen by BH, educated on fertility preservation |
|
|
Term
| stages of gender transition |
|
Definition
1 - 3mo living in the role
2 - 12mo hormones
3 - surgery |
|
|
Term
| effects of estrogen in gender transition - 4 |
|
Definition
| gynecomastia, decreased body hair, redistribution of fat, decreased testicular volume |
|
|
Term
| complications of estrogen in gender transition - 9 |
|
Definition
| gallstones, elevated LFT, weight gain, elevated TG, HTN, DM2, elevated PRL, breast cancer, osteoporosis |
|
|
Term
| monitoring required if on estrogen for gender transition after surgery - 5 |
|
Definition
- annual visual field and PRL
- mammogram (normal schedule)
- DEXA (normal schedule)
- vaginal pap, esp if glans at top
- prostate screening per usual |
|
|
Term
| complications of male to female transition surgery - 4 |
|
Definition
| vaginal/urethral structure, fistula, erectile remnents, groin pain |
|
|
Term
| effects of testosterone for gender transition - 2 |
|
Definition
| male secondary sex characteristics, amenorrhea |
|
|
Term
| SE testosterone for gender transition - 11 |
|
Definition
| polycythemia, weight gain, acne, transaminitis, CVD, HTN, DM, psych disorder relapse, endometrial and ovarian cancer, DECREASED osteoporosis |
|
|
Term
| monitoring required if on testosterone for gender transition after surgery - |
|
Definition
all depends on what surgeries they got...
- if a uterus still - cervical screening, watch out for AUB increased endometrial cancer
- if ovaries still - increased cancer
- if no mastectomy - no need for mammograms
- if testosterone - no need for DEXA but need Lipids |
|
|
Term
| how is uterine bleeding managed if someone is on testosterone |
|
Definition
|
|
Term
| labs that need to be monitered while on testosterone - 3 |
|
Definition
|
|
Term
|
Definition
| designation at birth based on anatomy and physiology |
|
|
Term
|
Definition
| persons innate identification that may not correspond to their identified sex |
|
|
Term
| gender expression definition |
|
Definition
| the gender a person expresses themselves as |
|
|
Term
|
Definition
| distress associated with gender state (DSM criteria) |
|
|
Term
|
Definition
| fluctuations in gender identity |
|
|
Term
|
Definition
| identify as male, female, or both |
|
|
Term
| define sexual orientation |
|
Definition
| a persons physical, romantic, emotional or spiritual attraction to others |
|
|
Term
|
Definition
| sexual encounters and behaviors of a person |
|
|
Term
|
Definition
| what is written on documentation |
|
|
Term
|
Definition
| strongly identifies with the opposite sex and seeks hormones or surgery |
|
|
Term
|
Definition
| dresses as the opposite sex |
|
|
Term
|
Definition
| identifies as both male and female or as no gender or as a gender outside the male/female binary |
|
|
Term
|
Definition
| person with a set of congenital variations of the reproductive system |
|
|
Term
|
Definition
| a person who was identified as a female at birth, but now portrays themselves as a male |
|
|
Term
|
Definition
| a person who was identified as a male at birth but who portrays themselves as a female |
|
|
Term
| barriers to health care in the LBT community |
|
Definition
- structural - institutional assumptions or policies
- economic - SES, insurance
- personal - negative attitudes, fear of discrimination, physician discomfort or refusal to treat
- cultural - lack of diversity in healthcare system
- educational - lack of knowledge about health issues specific to LBT population |
|
|
Term
| percent of doctors allowing ART - heterosexual, unmarried heterosexual, single women, lesbian couples |
|
Definition
| heterosexual 100%, unmarried 84%, single women 79%, lesbians 75% |
|
|
