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12 Cards in this Set
- Front
- Back
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Complications that can occur with placenta abruption
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Hemorrhage, fetal to maternal bleeding,
coagulopathy, and preterm delivery. |
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Best management for placenta abruption
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Delivery (at 35 weeks, the risks of abruption significantly outweigh the risks of prematurity).
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risk factors for abruptio placentae
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Hypertension (chronic and preeclampsia)
Cocaine use Short umbilical cord Trauma Uteroplacental insufficiency Submucous leiomyomata Sudden uterine decompression (hydramnios) Cigarette smoking Preterm premature rupture of membranes |
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patient complains of painful antepartum bleeding, which is consistent with
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placental abruption.
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How is placenta abruption dx
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Ultrasound examination is not helpful in the majority of cases; a normal ultra- sound examination does not rule out placental abruption. There is no one test that is diagnostic of placental abruption, but rather the clinical picture must be taken as a whole.
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Kleihauer–Betke test
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, which takes advantage of the different solubilities of mater- nal versus fetal hemoglobin.
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seizure (eclampsia prophylaxis)
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magnesium sulfate
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cervical cancer risk factors
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Early age of coitus
Sexually transmitted diseases Early childbearing Low socioeconomic status Human papillomavirus HIV infection Cigarette smoking Multiple sexual partners |
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mean age of presentation of cervical cancer
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51 years
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RADICAL HYSTERECTOMY:
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Removal of the uterus, cervix, and supportive ligaments, such as the cardinal ligament, uterosacral ligament, and proximal vagina.
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HPV vaccine
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The quadrivalent vaccine has been granted FDA approval to be used in females aged 9 to 26. It consists of the anti- gens of HPV subtypes 6 and 11, which cause the majority of condyloma accumi- nata (venereal warts), and more importantly subtypes 16 and 18, which cause 50% to 70% of cervical cancer.
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Tx of cervical cancer
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Cervical cancer is staged clinically (Table 16–2). Early cervical cancer (contained within the cervix) may be treated equally well with surgery (radical hysterectomy) or radiation therapy. However, advanced cervical cancer is best treated with radiotherapy, consisting of brachytherapy (implants) with teletherapy (whole pelvis radiation) along with chemotherapy, usually platinum-based (cis-platinum), to sensitize the tissue to the radiotherapy.
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