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20 Cards in this Set

  • Front
  • Back
What is caput? What does it indicate?
Scalp edema; it indicates adquate uterine contractions.
What is arrest of descent?
More than two hours at zero station
What are the five main "factors" of infertility?
Mc POUT

Male
cervical (rare)

perioneal (endometriosis)
ovulatory
uterine (fibroids)
tubal
What % of couples are infertile?
10-15%
What is the normal "fecundability" in one cycle?
In one year?
20-25%
90%
What is the most common factor causing infertility?
ovulatory, accounting for 30-40%
How is ovulatory factor infertility diagnosed?
Basal body temperature detects ovulation or lack of it;
Progesterone at midcycle can also document; LH surge can be detected with urine kit.
How is uterine factor fertility problems diagnosed?
hysterosalpingogram at day 6-10; followup with hysteroscopy if there is positive finding.
How is tubal factor infertility diagnosed?
hysterosalpingogram and laparoscopy.
What is normal sperm concentration for fertility?
> 20 million per mL, with normal motility (50%) and normal morphology (30% normal forms).
T/F Pain or dyspareunia is required for a diagnosis of peritoneal factor infertility.
False.
What is the treatment for ovulatory factor infertility?
clomiphene
What is the usual quality of pain with an ovarian torsion?
colicky
When does ovarian torsion in a pregnancy woman usually present?
about 14 weeks, when uterus rises above pelvic brim, or immediately postpartum when uterus involutes
T/F Ovarian torsion is commonly mistaken for a GI complaint
true
How does appendicitis pain present in pregnancy?
Pain moves up to RUQ/ right flank as uterus grows; it can mimic pyelonephritis
What is the treatment for appendicitis in pregnancy?
surgery regardless of gestational age + IV antibiotics
Why does biliary colic occur in pregnancy?
There is an increase in biliary sludge during pregnancy.
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
The right ovarian vein drains into ?
The left ovarian vein drains into?
vena cava
left renal vein