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20 Cards in this Set
- Front
- Back
What is caput? What does it indicate?
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Scalp edema; it indicates adquate uterine contractions.
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What is arrest of descent?
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More than two hours at zero station
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What are the five main "factors" of infertility?
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Mc POUT
Male cervical (rare) perioneal (endometriosis) ovulatory uterine (fibroids) tubal |
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What % of couples are infertile?
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10-15%
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What is the normal "fecundability" in one cycle?
In one year? |
20-25%
90% |
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What is the most common factor causing infertility?
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ovulatory, accounting for 30-40%
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How is ovulatory factor infertility diagnosed?
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Basal body temperature detects ovulation or lack of it;
Progesterone at midcycle can also document; LH surge can be detected with urine kit. |
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How is uterine factor fertility problems diagnosed?
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hysterosalpingogram at day 6-10; followup with hysteroscopy if there is positive finding.
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How is tubal factor infertility diagnosed?
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hysterosalpingogram and laparoscopy.
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What is normal sperm concentration for fertility?
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> 20 million per mL, with normal motility (50%) and normal morphology (30% normal forms).
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T/F Pain or dyspareunia is required for a diagnosis of peritoneal factor infertility.
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False.
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What is the treatment for ovulatory factor infertility?
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clomiphene
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What is the usual quality of pain with an ovarian torsion?
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colicky
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When does ovarian torsion in a pregnancy woman usually present?
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about 14 weeks, when uterus rises above pelvic brim, or immediately postpartum when uterus involutes
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T/F Ovarian torsion is commonly mistaken for a GI complaint
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true
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How does appendicitis pain present in pregnancy?
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Pain moves up to RUQ/ right flank as uterus grows; it can mimic pyelonephritis
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What is the treatment for appendicitis in pregnancy?
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surgery regardless of gestational age + IV antibiotics
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Why does biliary colic occur in pregnancy?
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There is an increase in biliary sludge during pregnancy.
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How is biliary colic treated during pregnancy?
How is cholecystitis or gallstones treated? |
colic: low fat diet and observation until after delivery.
cholecystitis: intial medical management during acute phase but surgery is usual tx |
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The right ovarian vein drains into ?
The left ovarian vein drains into? |
vena cava
left renal vein |