Unmanned
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| what is included in the pcos syndrome? | irregular periods, weight gain, infertility, excess hair.
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| what criteria is used? | Rotterdam criteria
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| What is entailed in rotterdam s criteria? | oligo/anovulation, xcess androgen activity and polycystic ovaries on u/s (only need 2/3)
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| how would you manage a patient where you saw polycystic ovaries on pelvic u/s? | Hx: irreg periods/amen, infertility, weight gain, depression
exam: acne, hirsut, raised bmi, acanthosis nigricans
Investigate,
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| how would u Ix a pt with PCOS? | Blood: FSH, LH, oestradiol, prolactin, testosterone, SHBG, thyroid, renal liver fxn, CBC, OGTT, lipid profile Imaging: U/s
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| What would be ur differentials for a pt with PCOS? | Cushing's, thyroid disease, hyperprolactinaemia
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| a pt with pcos is conerned about excess hair. how would u advice her? | Try techniques such as shaving, bleaching, laser, electrolysis. medications
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| what medications would you put this pt on? | COCP, cyproterone acetate, drospirenone, metformin
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| if this pt was concerned about infertility, what would you advise? | mx: clomiphene citrate, aromatase inhibitors, synthetic gonadotrophins sx: ovarian drilling
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| what are 3 long term complications of PCOS? | diabetes, stroke, sleep apnoea, endometrial ca
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| what are risks of women with pcos who become pregnant? | GDM, miscarriage, pre-eclampsia
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| is there any screening you would do for these patients? what & at what age? | 1. hyperlipidaemia, NIDDM. Started at 35 years generally
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| what general advicewould you give a pt with pcos? | diet and exercise is important to prevent niddm
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