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31 Cards in this Set

  • Front
  • Back
what G/U infection is strongly associated with preterm labor
Gonnococcal
why can the tocolytic agent indomethacin cause variable decels
A sudden change in increasing variable decels, which is caused by cord compression can include Oligohydramnios, rupture of membranes, or descent of the fetal head, such as in labor so that the nuchal cord may tighten
In a patient on tocolytics what is a mojor hazard
pulmonary edema because the tachycardia that oftne occurs decreases the diastolic filling tim, leading to increased end-diastolic pressure, besides oxygen, IV furosemide is effective in increasing
Bacterial infection of the bladder is defined as having greater than
100,000 cfus on a single midstream void
pregancy further predisposes women to UTIs due to
incomplete emptying, ureteral obstruction, and immuune suppresion
On a catheterized specimen how much bacteria does it require to be bacteriuria
10,000 instead of 100,000 in a normal midstream void
what is urethral syndrome
Urgency and dysuria caused by urethral inflammation of unknown etiology; urine cultures are negative
ampicillin is generally not used for UTIs due to the widespread resistance of what
E. Coli
In the pregnant patient asymptomatic bacteriuria leads to infection
leads to acute infection 25% of the time
Women with pyelonephritis present with
fever chills flank pain and nausea and vomiting
High incidence in women with sickle cell trait
asymptomatic bacteriuria
what OCPs are contraindicated after a DVT
any form of contraception that contains Estrogen, like the combination pill, patch or ring
what is the Yuzpe regimen
use of specific oral contraceptive regimen first reported by Dr. Yuzpe, consisting of two tablets of Ovral (total of 0.1mg ethinyl estradiol and 0.5 levonorgestrel) at time zero and two tablets after 12 hours
what is the Yuzpe regimen
use of specific oral contraceptive regimen first reported by Dr. Yuzpe, consisting of two tablets of Ovral (total of 0.1mg ethinyl estradiol and 0.5 levonorgestrel) at time zero and two tablets after 12 hours
progestin only pill is best suited for
breast feeding
levonorgestrel may lead to
irregular vaginal bleeding
the main risk of combined oral contraceptives are
DVT and PE, stroke in people with migraine with aura, MI in women smokers over 35, cholelithiasis and benign hepatic tumors
Use of combined OCPs decreases
the risk of ovarian and endometrail cancer, shortens the length of menses, decreases blood loss, decreases DUB, improves acne
What is a long term complication of heparin therapy
osteoporosis
How does one manage a DVT in a pregnant patient
full anticoagulation on heparin drip for 5 -7 days then can switch to subQ heparin while mainting aPTT at around 1.5 - 2.5 normal limits
SIgns and Sx of a DVT include . . .
"muscle pain," Deep linear cords of the calf, and tenderness and swelling of the lower extremitiy
pregnancy produces a hypercoagulable state by way of
because of increased levels of clotting factors-predominantly fibrinogen and venous stasis
progestin only contraception is only contraindicated in
women with unexplained uterine bleeding
BRCA 1 = chromosome ?

BRCA 2 = CSOME?
17, 13 resp.
the BRCA gene is autosomal ?
Dominant...it will dominate your life
what type of cyst may be observed
A breast cyst in which the fluid is straw colored or clear and the breast mass upon aspiration disapears may be observed
what are the US features of a dermoid cyst
hypo-echoic area of or cystic structure in a fat fluid medium...these are rapidly growing tumors found in women in there 2nd and third decade
the most common derivatives are ectodermal although they can contain all three germ layers
dermoid cysts
what is the typical initial symptom of a dermoid cyst
sever acute abdominal pain as a result of a torsed ovary
the prognosis of malignant teratomas
directly related to the stage and cellular immaturity...the treatment is a unilateral salpingooophorectomy with wide sampling of peritoneal implants if the primary tumor is grade 0 and all the samples are negative then you are done however if it is grade 2 combo chemo is effective
the prognosis of malignant teratomas
directly related to the stage and cellular immaturity...the treatment is a unilateral salpingooophorectomy with wide sampling of peritoneal implants if the primary tumor is grade 0 and all the samples are negative then you are done however if it is grade 2 combo chemo is effective