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19 Cards in this Set
- Front
- Back
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HELLP |
Hemolysis Elevated Liver enzymes Low platelets |
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Hemolysis |
Hgb lower than 12-16 +/- schistocytes on smear |
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Elevated Liver enzymes |
AST, ALT > 0-35 Alk Phos > 30-120 |
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Low platelets |
Lower than 150 |
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Relationship between serial quantitative betaHCG and ectopic pregnancy? |
If hCG stays same or slowly increases it is a good indicator of ectopic pregnancy or threatened abortion |
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How should beta HCG change during normal pregnancy? |
Double every 2 days of 1st trimester |
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What should be checked after Tx of an ectopic pregnancy? |
Serial beta HCG, to ensure proper fall off |
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At how many weeks of gestation can external U/S visualize pregnancy? |
18-20 |
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At how many weeks of gestation can intravaginal U/S visualize pregnancy? |
5-6 |
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Role of chemotherapy in Tx of ectopic pregnancy? |
Is an alternative Tx if patient is tubal ectopic, hemodynamically stable and fetus is < 3cm and NOT ruptured, and no heart activity on U/S |
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Patient has tubal ectopic, is hemodynamically stable and fetus is < 3cm and NOT ruptured - what is primary treatment? |
Surgical - Salpingostomy and removal of POCs |
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When to use methotrexate for ectopic in distal fallopian tube? |
If <3.5 cm |
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Modern Tx of ectopic in distal fallopian tube? |
Methotrexate If <3.5 cm OR surgical removal via lap Monitor serial bHCG to ensure proper fall off Rh- moms get RhoGAM |
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What is premature rupture of membranes? |
Amniotic sac rupture prior to onset of labor, frequently d/t ascending infxn BABY'S READY, MOM IS NOT (no contractions) |
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Tx for PROM |
ABX |
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Why not do a digital or sterile speculum exam with pROM or ppROM? |
Will introduce vaginal flora into uterus, chorioamnitis or endometritis will result |
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What is ppROM |
pre-term premature ROM |
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Tx for ppROM? |
US to assess fluid volume/gestational age >36 wks = deliver, give ABX <24 wks = baby not viable, delivery = abortion
24-36 wks = try to keep baby in mom longer Give steroids, tocolytic, ABX (amp, gent); mom is admitted or put on bed rest |
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Dx of pROM and ppROM? |
nitrazine blue test, look for color or ferning |
