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16 Cards in this Set
- Front
- Back
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what is the best management for thyroid storm
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A Beta blocker, steroids, and PTU
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the most commonly used medication for hyperthyroidism in pregnancy
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PTU
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PTU works how
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manages the peripheral conversion of T4 -- T3
...remember both PTU and methimazole cross the placenta |
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methimazole has been associated with
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skin and scalp defects
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what happens to thyroxine levels in pregnancy?
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there is an increase in T4
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Overall the most common cause of Hypothyroidism is graves disease however in the postpartem period
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a woman is more likely to have destructive lymphocytic thyroidits because the high corticosteroid levels during pregnancy suppress the autoimmune antibodies and a flare occurs postpartem
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pregnancy causes total thyroxine to be increased, free T4 to be unchanged, TSH to be unchanged and TBG to be increased
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pregnancy causes total thyroxine to be increased, free T4 to be unchanged, TSH to be unchanged and TBG to be increased
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postpartem thyroiditis...often occurs 1 to 4 months, is associated with
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antimicrosomal abs, and can lead to hypothyroidism
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what are the treatment options for chlamydia in a pregnant patient
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azithromycin, erythromycin, ampicillin
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chlamydial infections may lead to what in the baby if untreated
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pneumonia and or conjunctivitis
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with chlamydia in a pregnant patient the true problem is with the baby so therefore
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an important time to screen for the organism is during the third trimester ..treatment if the mother is positive includes ampicillin/erythromycin for 7 days or azithromycin as a one time dose
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chlamydia can also cause late
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postpartem endometritis
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the late postpartem endometritis of chlamydia usually occurs when
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about 2-3 weeks after
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combination retroviral therapy for HIV decreases the risk of vertical transmission to less than
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2%
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those women who choose to deliver vaginally and are HIV positive should recieve what
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Zidovudine during labor, the infant usually gets the syrup
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chlamydia has a propensity for what type of epithelium
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transitional and columnar
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