Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
37 Cards in this Set
- Front
- Back
|
physical exam findings of stress incontinence
|
hypermobile urethra, loss of bladder angle
|
|
|
best initial treatment of stress incontinence
|
kegel exercise and timed voiding
|
|
|
incontinence associated with DM and neuropathy
|
overflow incontinence
|
|
|
what type of incontinence is associated with uninhibited spasms of the detrusur muscle
|
urge
|
|
|
how to treat urge incontinense
|
Anti-cholinergics
|
|
|
how does one diagnose incontinence due to fisutla
|
injject dye into the bladder
|
|
|
uterine inversion presents as what and what is a very likely complication
|
shaggy, reddish bulging mass at the introitus around the placenta...postpartum hemorrhage
|
|
|
who is at particular risk for uterine inversion
|
the grand-multiparous woman with placenta at the fundus
|
|
|
Tx of uterine inversion
|
get a Anes (may need halothan or somehting like it to relax the cervix, can pop it back in with hjands (mg/terbutaline help this), once in its normal spot...uterotonic agents are started
|
|
|
if placenta is not delivered within 30 minutes what is one to dao
|
manually extract that bitch
|
|
|
used to treast the entrapped fetal head of a breech
|
Duhrssen incision
|
|
|
one of the most comon causes of inverted uterus is
|
undue traction on the cord
|
|
|
another term to describe the perimenopausal state
|
climacteric
|
|
|
for women who cannot or refuse to take estrogen for the vasomotor changes what else can one use
|
clonidine
|
|
|
can FSH be used to titrate estrogen replace ment
|
no because it responds to inhibin, and therefore will remain elevated even with adequate doses of estrogen
|
|
|
active phase of labor usually begins at about?
|
4 cm
|
|
|
what is the definition of protraction of active phase?
|
dilation less than 1.2/1.5cm/hr in a nulli/multi parous woman
|
|
|
definition of accelerations
|
episodes of the fetal heart rate that incease for at leas 15bpm and last for 15 seconds
|
|
|
latent phase lasts anyhwhere up to
|
18-20 hours nulli, 14 multi
|
|
|
second stage of labor time limits
|
less than 2/3 for nulli/nulli with epidura
less than 1/2 multi/multi with epidural |
|
|
define clinically adequate contractions
|
every 2-3 minutes for at least 40 - 50 seconds
|
|
|
how many montevideo units are adequate
|
200
|
|
|
what does early decel look like on a graph
|
it is gradual and a mirror image of the uterine contraction
|
|
|
abrupt in its decline and resolution
|
late decel
|
|
|
station refers to
|
the relationship of the presenting bony part of the fetal head i.e LOP, anterior, what not
|
|
|
threshhold for which transvaginal US can reveal gestational sac
|
1500 - 2000
|
|
|
what is the management of a threatened abortion if the HCG level isnt high enough for an US
|
serial HCG and making sure that they increase by 66% within 48 hours
|
|
|
what is another option besides quant HCG when evaluating someone with an early threatend abortion
|
check a progesterone level and if it is greater than 25ng/dl then it is almost always indicative of a normal pregancy...whereas levels below 5 correlate witha nonviable gestation
|
|
|
who are the candidates for medical management of an ectopic
|
asymptomatic women with a small (less than 3.5cm) ectopic can be treated with methotrexate
|
|
|
how is a a nonviable pregancy managed medically
|
misosprostol vaginally
|
|
|
scenario: lady who is pregnant presents with vaginal spotting, HCG is above the 1500-2000 threshhold for U/S to reveal sac...yet there is no sac what is next
|
either complete abortion or more likely an ectopic so laparoscopy is often undertaken
|
|
|
what is the management of placenta accreta
|
hysterectomy
|
|
|
what can increase the risk for placenta accreta
|
uterine incision
|
|
|
define P. Increta
|
abnormally implanted placenta penetrates into the myometrium
|
|
|
define P. Percreta
|
abnormally implanted placetna penetrates throught the myometrium ot the serosa and often the bladder
|
|
|
what are the risk factors for placenta accreta
|
low lying placentation, previa, cesareans, MYOMECTOMY, curretage
|
|
|
the posterior placenta is associated with less of a risk than an anterior placenta for accreta
|
the posterior placenta is associated with less of a risk than an anterior placenta for accreta
|
