USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

12 ...

HORMONAL DISORDERS ...

LEARNING OBJECTIVES Describe the causes of premenstrual disorders including precocious puberty Describe norma ...

PRECOCIOUS PUBERTY A 6-year-old girl is brought to the office by her mother who has noticed breast budding and pu ...

Table II-12-1. Precocious Puberty 11–12 years 12–13 years Figure II-12-1. Overview of Puberty Incomplete isosexual ...

GYN TRIAD Idiopathic or Constitutional Precocious complete isosexual puberty 6-year-old girl Normal head MRI ...

GYN TRIAD CNS Lesions Precocious complete isosexual puberty 4-year-old girl Abnormal head MRI ...

GYN TRIAD McCune-Albright Syndrome Precocious complete isosexual puberty 6-year-old girl Café-au-lait skin lesions ...

GYN TRIAD Granulosa Cell Ovarian Tumor Precocious complete isosexual puberty 6-year-old girl Pelvic mass Gonadotrop ...

Patients with idiopathic precocious puberty should be maintained with inhibition of the hypothalamic–pituitary–ov ...

PREMENSTRUAL DISORDERS PREMENSTRUAL SYNDROME A 36-year-old patient complains of depression, anxiety, irritability, an ...

Symptoms may vary, but they include fluid retention (bloating, edema, breast tenderness), autonomic changes ( ...

Figure II-12-4. PMS Symptoms Management. Proven treatments include the following: Selective serotonin reuptake inhibito ...

Unproven treatments include the following: PMS. It is a low-dose, monophasic combination oral contraceptive w ...

Figure II-12-5. PMS Treatment ...

HIRSUTISM A 28-year-old woman complains of increased hair growth on the face and on the chest. She states th ...

NOTE Virilization is excessive male-pattern hair growth in a woman plus other masculinizing signs such ...

glands. A markedly elevated DHEAS is consistent with an adrenal tumor. 17-OH progesterone is a precursor ...

GYN TRIAD Adrenal Tumor Clinical entities Adrenal tumor: typically the onset has been rapid without positive fam ...

GYN TRIAD Ovarian Tumor (Sertoli-Leydig) Ovarian tumor: typically the onset has been rapid without positive famil ...