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30 Cards in this Set
- Front
- Back
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When the diagnosis of PID is in doubt the best method for confirmation is
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Laparoscopy ...the surgeon would look for prurulent d/c exuding from the fimbriae of the tubes
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What are the criteria for outpatient management of PID
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low-grade fever, tolerance of oral medication and the absence of peritoneal signs
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Out patient medical management of PID is what
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IM Ceftriaxone and oral doxy for 10-14 days
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what is one of the D'sOC for inpatient PID
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IV Cefotetan and Doxy wit defervescenece in 48 hours if no lap may be necessary
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One important sequalae of salpingitis is what
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A tuboovarian abscess...this disorder generally has an anaerobic predominance and necessitates the corresponding abx clindamycin
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actinomyces can be associated with
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Salpingitis in a woman with an IUD
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nulliparity is associated with an increased risk of PID?
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oh yeah absolutely
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OCPs due what to the risk of PID
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decrease the risk of PID by progestin thickening of the cervical mucous
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na oxygen sat of less than 90% corresponds with a tension of
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less than 60mmHg
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why do pregnant women have a higher pO2
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Increase in tidal volume leads to increased minute ventilation and lower pC02
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are relatively contraindicated after a woman has had a PE
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estrogen products
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a normal pregnant bicarb level
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19
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most common cause of maternal mortality is what
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PE
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can decrease the duration of viral shedding and duration of herpetic lesion
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acyclovir and analogous agents if given during poregnancy
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what is the most common symptom of uterine fibroids
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menorrhagia
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Magnetic Resonance Imaging (MRI)
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A technique that uses magnetic fields and radio waves to produce computer generated images that distinguish among different types of soft tissue; allows us to see structures within the brain.
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what can be used to shrink fibroids temporarily
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a GnRH agonist
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fibroids that are primarily on the endometrial side of the uteruis and impinge on the uterine cavity
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submucosal fibroids
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the initial treatment of uterine fibroids is
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medical such as with nsaids and progestin, GnRH agonists lead to a decrease in uterine size with a maximum decrement at 3 month, GnRH therapy is reserved for tumor shrinkage or correction of anemia prior to surgery
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type of fibroids associated with consecutive first trimester abortions
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submucosal
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extensive myomectomies sometimes necessitate cesarian delivery because
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because of the risk for uterine rupture: watch out for a question with a lady who has had a myomectomy, she is in labor and all of a sudden the fetal monitoring strip reveals bradycardia
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remember that excessive growth of uterine fibroids is unusual in a menopausal woman due to lower levels of estrogen
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remember that excessive growth of uterine fibroids is unusual in a menopausal woman due to lower levels of estrogen
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high on the differential of a lady with severe preeclampsia who after delivery becomes extremely hypotensice accompanied by severe abdominal pain and distention
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hepatic rupture son...the ole hepatic rupture and I bet her LFTs were through the roof
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define gestational HTN
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HTN beginning after 20 weeks
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gestational HTN is HTN beyond 20 weeks in the abscence of
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proteinuria
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what is severe preeclampsia
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Vasospasm associated with preeclampsia of such extent that maternal end organs are threatened, usually necessitating the delivery of the baby regardless of gestational age
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what are the BP quaLIFIERS of severe preeclampsia
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systolic over 160, diastolic over 110
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a urine dip can approximate eclamptic urine frome severe ecclamptic urine...
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1-2+ is preeclampsia
3-4+ is severe preeclampsia |
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Is diabetes and Anti-phospholipid syndrome a risk factor for preeclamsia
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yup
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what is the greates risk factor of transferring from being pre-eclamptic to being eclamptic
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the greates risk for occurence is just prior to delivery during labor and within 24 hours after labor
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