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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