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25 Cards in this Set
- Front
- Back
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During what weeks of pregnancy, is fetus most susceptible to teratogens and ORGANS are forming?
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weeks 3-8 of pregnancy
(teratogens eg ACEI) |
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DOC for Neisseria gonorrhoeae?
DOC for Chlamydia trachomatis? |
N. gonorrhoeae: ceftriaxone
Chlamydia trachomatis: Azithromycin *not visulized on gram stain |
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Ashermn syndrome?
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secondary amenorrhea ;
typ. due to intrauterine adhesions/absent stratum basalis of endometrium -->prevents zygote from proper implantation w/in uterus--> repetetive miscarriages due to rpted/too forceful curettage procedures secondary amenorrhea= absence of periods for 3 cycles |
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Gestas: Partas (TPAL)
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Term
Preterm Abortions before 20 weeks Living |
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viscerosomatic TART findings assoc w/ CHRONIC pathology?
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fibrosis & dull tenderness
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viscerosomatic TART findings assoc w/ ACUTE path?
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bogginess, hyperhidrosis, & sharp tenderness
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viscero-somatic refleces for kidneys
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T10-11
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viscero-somatic for UPPER GI (esophagus to small intestine)
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T5-9
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Pyelonephritis treated how in pregnant women?
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aggressively!
bacterial toxins can cause early contractions/pre-mature labor; risk for intrauterine infxns |
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antibiotics-protein synthesis inhibitors?
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classes= "AT CMC" inhibiting protein synth
Aminoglycosides Tetracyclines Chloramphenicol Macrolides Clindamycin aMINoglycosides: gentaMICIN, neoMYCIN, amiKACIN, tobraMYCIN, streptoMYCIN ("mean GNATS cannot kill anaerobes"-req O2 for uptake) MACrolides: eryTHROMYCIN, aziTHROMYCIN, clariTHROMYCIN |
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breast cancer risk factors?
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more E exposure:
early menarche, obesity (estrone), age, nulliparity |
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TamoxiFEN
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SELECTIVE E receptor modulator- E agonist or antagonist!
partial agonist on endometrial tissue agonist for bone (good) antagonist for breast (prev breast cancer) |
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on pap smear (cervical cytology), presence of what is indicative of HPV infxn?
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koilocytes
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gestational diabetes- what're the N lab vals for 2 hr glucose test?
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2 hr glucose test
1 hr= 180 2 hr= 150 fasting= 90 |
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Drugs for Gestational HTN- ie HTN in pregnant women?
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when systolic >160
*Labetalol-mixed alpha/beta adrenergic antagonist *Hydralazine- direct-acting smooth muscle relaxant/ VD aa; increases cGMP, decreasing the phosphorylaton of smooth mm myosin light chains. *Nifedepine *Methyldopa |
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prophylactic trtmt seizures/eclampsia?
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Mg sulfate
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struma ovarii
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struma= enlargement of thryoid tissue
subtype of ovarian germ cell tumors: teratoma: struma ovarii ovarian tumor that contains thyroid tissue--> px hyperthyroidism (so not see goiter, min/no radioiodine uptake) |
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px of Primary Syphilis?
screening test? |
single painLESS ulcer
cannot be cultured; screened via Rapid Plasma Reagin (RPR) OR VDRL (venereal dz research lab) |
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trtmt for Primary/Secondary Syphilis?
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Benzathine Penicillin (long acting; IM or PO)
Penicillin G- for Tertiary & congenital syphilis |
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trmt for Chlamydia?
Gonorrhea? |
Chlamydia--> Azithromycin (macrolide)
Gonorrhea--> Ceftriaxone |
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Herpes trtmt?
to shorten (not cure) |
HPV!---> Acyclovir
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missed abortion?
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uterine bleeding or pain & CLOSED cervix
US: find unviable fetus |
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what is a threatened vs inevitable abortion?
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threatened--> can become an inevitable abortion
THREATENED abortion: uterine bleeding/pain 1st 20 wks of gestation US: viable fetus Pelvic: CLOSED cervix (limit activity/get bed rest) INEVITABLE: uterine bleed/pain in 1st 20 weeks of gestation; US: find viable fetus Pelvic exam: OPEN cervix |
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D-dimer? Test for?
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subtype of fibrin degradation/split product from clot breakdown via action of plasmin on fibrin;
rises after THROMBOTIC EVENT; |
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DIC (disseminated intravascular coagulation)?
PT & PTT change? |
excessive simultaneous bleeding AND clotting/thrombosis!
*PT & PTT prolonged bc consumption of CLOTTING FACTORS *PLATELETS consumed = thrombocytopenia *FIBRINOGEN broken down--> fibrin split products (fibrin decreased, D dimer increased) |
