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20 Cards in this Set

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Anemia with dark colored urine--the likely etiology is ?
hemolysis:

HELLP, autoimmuine hemolytic anemia, sickle cell, nitrofurantoin + G6PD deficiency
Most common type of anemia in pregnancy
iron deficiency
Anemia, jaundice, thrombocytopenia in a pregnant woman
HELLP
What is a possible danger in antibiotic treatment of pyelonephritis?
ARDS, from endotoxin release as bacteria are lysed; toxins leak into tissues

Treatment is supportive with O2, fluid monitoring, possible intubation.
What is the most common cause of sepsis in pregnant women?
Pyelonephritis
If pyelonephritis treated with IV antibiotics does not improve in 48-72 hours, suspect ?
urinary tract obstruction (ureterolithiasis) or perinephritic abscess
Most common agent of pyelo in pregnancy?
E coli
T/F ARDS can cause preterm labor.
true
How is a DVT managed in pregnancy?
With heparin only; coumadin is not used because it is teratogenic.
T/F Platelets are normally elevated in pregnancy.
False. They are low; the lower limit of normal is 120,000 rather than 150,000.
What are some longterm side effects of heparin?
osteoporosis
thrombocytopenia
What is contraindicated for a woman with prior DVT?
combination birth control pills or other drugs with estrogen
The most common location of DVTs in pregnant women are lower extremities and ?
pelvic veins
What is the major risk factor to consider when assessing breast masses?
Age
How often should breast exams be performed?
Every 3 years from age 20-39
Every 2 years from age 40-49
Annually after 50
What is the false negative rate of mammograms?
10%
How do you assess for breast cancer in a woman with saline implants?
Mammography is still the best initial study.
What is the most common type of tumor in women younger than 30 years?
cystic teratoma / dermoid cysts
What is struma ovarii, and what symptoms would you expect with it?
An ovarian tumor with thyroid tissue, (rarely) producing symptoms of hyperthyroidism; usually asymptomatic
What is the treatment for struma ovarii?
cystectomy or salpingo-oophorectomy