Important knowledge

⚡️topical imiquimod cream 5% كلش حلو ولطيف لل genital warts وميخلي اثر لكن عيبه يطول يالله يشتغل ٣ اسابيع يالله يبين مفعولة

⚡️Hepatitis B virus is transmitted mainly in blood

⚡️Ritters syndrome triad - reactive arthritis - uveitis - rash

⚡️ The is commonest bacterial STD chlamydia

⚡️The gold standard test for acut pelvic inflammatory disease diagnosis is laparoscopy

⚡️In acute PID, symptoms characteristically develop during or soon following menstruation

Strawberry 🍓 cervix Pathognomonic for trichomonas vaginitis Ddx / Ca cervix

⚡️The commonest cause of abnormal vaginal discharge is bacerial vaginosis

⚡️The most common type of vaginal bacteria is hydrogen peroxide producing lactobacili .

⚡️Treatments Vaginal intraepithelial neoplasia VAIN = surgical excision , laser therapy , topical 5 fluorouracil , total vaginectomy (for invasive) Sequamous cell carcinoma of the vagina =radiotherapy and or chemo radiotherapy ( not surgery)

⚡️ most common site for vaginal carcinoma is upper third , posterior wall .

⚡️main source of spread of vulval malignancy is lymphatic spread

⚡️most common cause of vulva Ca is HPV ( then lichen sclerosis)

⚡️Most common Vulval cyst is Bartholin Duct Cyst

Pap smear set (بعض الادوات غير موجودة في ملزمة العملي لكنها ترد في السلايدات )

⚡️Pap smear can done in pregnency up to 24 w (but not later) because if done later than 24w can cause complications (infection , bleeding , rupture of membrane,..ect.)

⚡️ the most common type (70%) of cervical cancers are squamous cell carcinomas

‘transformation zone’ (TZ) of cervix

⚡️Ovarian fibromas are the most common sex cord stromal tumours

⚡️Serous cystadenomas is the most common benign Epithelial ovarian cyst