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12 Cards in this Set
- Front
- Back
You have a pregnant woman that is very itchy but denies any rash.
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She is not jaundiced
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this is likely due to cholestasis of pregnancy
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where you have buildup of bile salts in the body
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What is PUPPP?
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this is pruritic papules and plaques of pregnancy
it's basically hives on their butt Related to cholestasis of pregnancy |
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What is herpes gestationis?
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a very rare skin rash where they end up with a shingles-like rash
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What causes herpes gestationis?
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it's a weird autoimmune reaction that occurs in the second trimester and presents as this rash
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What is the tx for herpes gestationis?
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steroids
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What ethnic population is commonly affected by cholestasis of pregnancy>
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Swedes
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How do you dx cholestasis of pregnancy?
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you get bile salt levels
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What is another important lab test to evaluate in the case of cholestasis of pregnancy?
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LFTs to rule out hepatitis and other ongoing issues like liver disease
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What are the big risks of cholestasis of pregnancy?
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it gives higher risk of prematurity, fetal distress and fetal loss.
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What is a drug that can treat cholestasis of pregnancy?
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Ursodiol
you can use cholestyramine but there is concern for fat-soluble vitamin deficiencies |
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Does PUPPP have any effect on the pregnancy course?
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no it's just a rash basically
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