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25 Cards in this Set
- Front
- Back
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Estimated day of confinement EDC |
Add 7 days and subtract 3 months from LMP LMP April 17 EDC Jan 24 |
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S/E of IV Magnesium given for suppression of premterm labour |
Respiratory depression Sign of toxicity is lost deep tendon reflexes |
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Postpartum alopecia |
Due to decreasing levels of hormones from pregnancy usually resolves within six months |
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Postpartum thyroiditis |
Occurs after 3% to 60% of pregnancies A variation of Hashimoto’s thyroiditis Hyperthyroidism beginning 1 to 4 months after delivery and lasting for 2 to 8 weeks Thyroid function then either returns to normal or the patient develops transient or permanent hypothyroidism |
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Hypercoagulable state is a contraindications for |
HRT OCPs |
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Absolute contraindications to HRT |
Severe liver disease Undiagnosed vaginal bleeding Venous thrombosis Known/suspected breast/Uterine cancer |
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Atypical glandular cells not otherwise specified AGC-NOS on PAP smear |
Is associated with a 17% rate of cancer (8% carcinoma in situ and 9% invasive carcinoma) High-grade squamous intraepithelial Lesion (HSIL) has only a 3% associated cancer rate |
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Pap smear after hysterectomy is |
Necessary if the hysterectomy was partial or was done to treat a cancerous or precancerous condition of the cervix Unnecessary if total hysterectomy was done for a non-cancerous condition and the woman does not have a history of pre-cancerous cervical condition or HPV |
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Pap smear is suspicious for malignancy, next most appropriate procedure is |
Colposcopic directed biopsy |
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All women with atypical glandular cells of undetermined significance (AGUS) should have |
Colposcopy In women >35 years old, endocervical curettage is also recommended |
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Endometritis |
Known complication of C/S Cefazolin preoperatively for prophylaxis |
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Pap smear shows atypical squamous cell of undetermined significance (ASCUS) |
Repeat pap smear in 6-12 months Or HPV DNA testing |
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Pap smear shows ASCUS, HPV DNA test is negative |
Continue routine Pap tests, with the next test in 3 years |
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Pap smear shows ASCUS, HPV DNA test is positive |
Refer to colposcopy |
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Pap smear shows HSIL high grad squamous intraepithelial lesion and a possible glandular abnormalities |
Colposcopy, cone biopsy and hysteroscopy are indicated |
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All women with HSIL test result |
Should have colposcopy |
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When obtaining a Pap smear |
Make sure you get endocervical cells or the test needs to be repeated |
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When to stop cervical cancer screening? |
Women older than 70 with 3 normal tests in arow and no abnormal tests in the last 10 years |
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Who should be screened ANNUALLY for cervical cancer? |
High risk patients ( smoking, sex at early age, multiple partners) HIV and immunocompromised patients |
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Routine Pap testing is done every |
3 years including pregnant women if they are due for screening |
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Pap smear reveals low grade squamous intraepithelial lesions (LSIL) |
Repeat pap smear in 6 months 50% of LSIL regress 20% progress to HSIL 0.2% will turn into cancer within 2 years |
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HPV most likely to cause cervical cancer is |
HPV type 16 and 18 |
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Cervarix and Gardasil |
Given to girls 11-26 Protect against HPV 16 and 18 Gradsil also protects against HPV types 6 and 11 which are associated with genital warts |
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Infertility work up |
Test mid-luteal progesterone and prolactin Test for rubella immunity Start the woman on a basal temperature chart Ask the man to do a semen analysis Up to date pap smear test Perform a vaginal examination Ask about frequency and timing of intercourse |
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Absolute contraindications to combined OCP |
Breast malignancy Cirrhosis History of myocardial infarction Hypertension Migraine with focal neurologic deficit Diabetes mellitus with complications Stroke |
