Gynaecology at University Of Stellenbosch | Flashcards & Summaries

Lernmaterialien für Gynaecology an der University of Stellenbosch

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What is the aetiology of amenorrhoea?

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•Physiological- Pregnancy, Lactation, Peri-menarchal, Perimenopausal

•CNS and Hypothalamus

- Psycho-neuroendocrine; Stress, Pseudocyesis, Undernutrition

- GnRh Deficiency

- Tumours – compression or destruction of hypothalamus

•Pituitary Gland

- Hyperprolactinaemic stats – pituitary tumour e.g carcinoma, prolactinoma

•Gonadal Causes

- Primary ovarian failure:  Dysgenesis, damage, Premature Menopause, Antibodies

- Gonadal Dysfunction:  PCOS, Functional Ovarian Tumours

•End-organ defects

- Congenital abnormalities – Mullerian agenesis/anomalies; DSD (AI, deficient testosterone synthesis)

- Acquired abnormalities – Obliteration of the uterine cavity or cervix

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​​​​​What is the presentation of a granuloma inguinale GUS? ( K.granulomatis)

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​​​​​1. Lesion

- papular to nodular to ulcerative, painless


2. LAD

- Pseudobubo

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What is amenorrhea?
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The absence of menstruation 
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Antibiotic resistance is important for which 2 organisms?

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Neisseria gonorrhoeae and Chlamydia trachomatis

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What are the causes of male urethritis syndrome?

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Causes - Gonorrhoea, Chlamydia

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What criteria is used to diagnose bacterial vaginosis?

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Amsel Criteria

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what is the treatment for Haemophilus ducreyi?

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Azithromycin

(GUS, Bubo)

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What are the chronic complications of STI's?

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•Recurrent miscarriage

•Ectopic pregnancy

•Infertility

•Cervical cancer

•Chronic pelvic pain

•Pelvic adhesions

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Where do Fitz-Hugh-Curtis syndrome adhesions occur?


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In the liver capsule

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What is galactorhoea?
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Inappropriate or nonpuerperal lactation
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What is secondary amenorrhea?
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Absence of menses when menstruation has previously occurred 
- at least 6 months : regular cycle 
- at least 12 months : oligomenorhoea 
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What is the approach to a px with an STI?

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History

Examination

•Speculum

Investigations

•HIV rapid, pregnancy test

Diagnosis

Treatment

Contact tracing

Follow-up and education

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Q:

What is the aetiology of amenorrhoea?

A:

•Physiological- Pregnancy, Lactation, Peri-menarchal, Perimenopausal

•CNS and Hypothalamus

- Psycho-neuroendocrine; Stress, Pseudocyesis, Undernutrition

- GnRh Deficiency

- Tumours – compression or destruction of hypothalamus

•Pituitary Gland

- Hyperprolactinaemic stats – pituitary tumour e.g carcinoma, prolactinoma

•Gonadal Causes

- Primary ovarian failure:  Dysgenesis, damage, Premature Menopause, Antibodies

- Gonadal Dysfunction:  PCOS, Functional Ovarian Tumours

•End-organ defects

- Congenital abnormalities – Mullerian agenesis/anomalies; DSD (AI, deficient testosterone synthesis)

- Acquired abnormalities – Obliteration of the uterine cavity or cervix

Q:

​​​​​What is the presentation of a granuloma inguinale GUS? ( K.granulomatis)

A:

​​​​​1. Lesion

- papular to nodular to ulcerative, painless


2. LAD

- Pseudobubo

Q:
What is amenorrhea?
A:
The absence of menstruation 
Q:

Antibiotic resistance is important for which 2 organisms?

A:

Neisseria gonorrhoeae and Chlamydia trachomatis

Q:

What are the causes of male urethritis syndrome?

A:

Causes - Gonorrhoea, Chlamydia

Mehr Karteikarten anzeigen
Q:

What criteria is used to diagnose bacterial vaginosis?

A:

Amsel Criteria

Q:

what is the treatment for Haemophilus ducreyi?

A:

Azithromycin

(GUS, Bubo)

Q:

What are the chronic complications of STI's?

A:

•Recurrent miscarriage

•Ectopic pregnancy

•Infertility

•Cervical cancer

•Chronic pelvic pain

•Pelvic adhesions

Q:

Where do Fitz-Hugh-Curtis syndrome adhesions occur?


A:

In the liver capsule

Q:
What is galactorhoea?
A:
Inappropriate or nonpuerperal lactation
Q:
What is secondary amenorrhea?
A:
Absence of menses when menstruation has previously occurred 
- at least 6 months : regular cycle 
- at least 12 months : oligomenorhoea 
Q:

What is the approach to a px with an STI?

A:

History

Examination

•Speculum

Investigations

•HIV rapid, pregnancy test

Diagnosis

Treatment

Contact tracing

Follow-up and education

Gynaecology

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