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;
30 Cards in this Set
- Front
- Back
annual pap smears on the vaginal cuff
|
When a patient has a history of cervical dysplasia, even after total hysterectomy anual pap smears should be performed
|
|
what are the most commonly isolated subtypes in cervical dysplasia and cancer of HPV
|
16 and 18
|
|
if uterine curretage results in amennorhea what is this called
|
asherman syndrome
|
|
asherman's syndrome causes amenorrhea by
|
damaging the decidua basalis rendering the endometrium unrespnsive
|
|
a definitive diagnosis for intrauterine adhesiosn (ashermans)
|
Hysterosalpingogram
|
|
a postpartem hemorrhage is classically defined as a hemorrhage greater than
|
500 for vaginal and 1000 for csection
|
|
artificial rupture of the membranes on an unengaged preganancy seriously predisposes to what?
|
cord prolapse which will usually present a s bradycardia in the fetus...the treatment of this is emergent c-section
|
|
how does one keep pressure off the cord in the case of a cord prolapse while awaiting csectio
|
place the patient in trendelenbburg, elevate the the presenting part manually thus keeping pressure off the cord
|
|
what is the definition of engagement
|
largest transverse diameter of the fetal heead has negotiated the bony pelvic inlet
|
|
describe the management of fetal bradycardia
|
the initial steps are directed at improving maternal oxygenation
1) placement of the patient on her side to movve the uterus from the great vessels. 2) IV fluid bolus. 3) administration of 100% O2. 4.) stopping oxytocin |
|
besides cord prolapse what are some other causes of fetal bradycardia
|
hyperstimulation with oxytocin, hypotension due to an epidural
|
|
diminished variability may be caused by
|
sedating medications or fetal acidosis
|
|
accelerations are
|
abrupt increases in fetal heart rate of at least 15 bpm for 15 seconds...and are typically indicative of adequate oxygenation
|
|
remember that the very first step in assesing fetal bradycardia
|
differentiating maternal...from fetal
|
|
in terms of galactorrhea the TRH test is useful for patients with mildly elevated prolactin in the....
|
20 - 60, those with markedly high prolactin should have an MRI
|
|
chestwall trauma can cause
|
hyperprolactinemia
|
|
prolactin causes amenirrhea because
|
prolactin inhibits GnRH pulsations
|
|
Patients with hyperprolactinemia with or without adenoma, with adequate estrogen levels (>40) and who do not desire pregnancy should be treated with
|
periodic progestin withdrawal
|
|
PUPP is what
|
pruritic papules and plaques and hives beginning in the abdominal area and spreading to the buttocks
|
|
PUPP is what
|
pruritic papules and plaques and hives beginning in the abdominal area and spreading to the buttocks
|
|
one of the most common cause of pruritis in pregnancy is what
|
intrahepatic cholestasis of pregnancy
|
|
intrahepatic cholestasis of pregnancy usually begins when
|
3rd trimester
|
|
cholestasis of pregnancy especially when accompanied by jaundice, is associated with an increased incidence of
|
prematurity, fetal distress and fetal loss
|
|
what is the firstline treatment of chlestasis of pregnancy
|
antihistamines, cornstarch baths, some people have even used ursodeoxycholic acid
|
|
describe herpes gestationis
when it starts? where it appears? what is the etiology? How is it treated? |
starts in the 2nd trimester
appears on the limbs most often etiology may be: autoantibodies directed at the basement membrane treatment:oral corticosteroids |
|
how is pupp treated
|
topical steroids and antihistamines
|
|
difference in the clinical presentation of PUPP and Intrahepatic Cholestasis
|
PUPP: begins on the abdomen and spreads to the thighs
IHC: itching is usually more extreme itching on the extremities. it is common in swedes |
|
Is PUPP associated with any abnormal pregnancy outcomes
|
No
|
|
usually small red bumps that are striae that are intensely pruritic that always begin with the abdominal striae
|
PUPP usually appears 35 weeks
|
|
sometimes seen with herpes gestationis
|
Meonatal lesions but not to fret they will resolve ...remember gestationis is caused by the IgG Abs crossing the placenta
|