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437 Cards in this Set
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day 5-6 days fever after postparturm
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mangaement is IV heparin
risk factors c/s prolonged membran ruputre |
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Tubor ovarir abcess
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In clindaymind and gentamince for fever 72 hours
triple antibiot thearpy |
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hypotrhoid and milk goo goo jucie
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check TSH and becaseu increae TRH increases prolactic
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HPL
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increase lipolysis insulin antagoinst
postpraandial hyperglycemia fast hyperinsulinemai |
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breast + no uters
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46xy
mulerian agensis which will have pubic hair |
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phenytoin can cuase what in kids
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dysmorphin cranifacial feature cardian
fingernail hypoplais |
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managaemtne of tubo ovarian abscess
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IV clinday and genat minc
ex lap |
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fetal alcohol syndromw
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midhfacial hypoplasia
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when to give pregant pt rubbela vaccine
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after delivery
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tx of eclampsia
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protect mother airwayr and tounge
adminit mgso4 prompt delivery lower blood pressure |
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only abortion baby is allive
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theratend
no cervial dilation managemnt is ovservation |
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magenment of placenta aborto
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Emeregenyc csection iwth maternal or fetal jopary
vaginal delivery >36 avoid cs if baby is dead consrevaitno in hopstial observation if fetus is stable |
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oxytocin
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SIADH so can get water intoxication
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painful ulcerativ lesion on right vaginal wall
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herpes simlex viurs
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pustule becomes painful ulcer wiht ragged edge
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chancroid
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what does estrogen do to the thyroid
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increase total TBG levels
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why do they get increase of reflux
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decrease Gastroesophagel junction tone
i think they get less ulcers bc increaes in prostaglidns |
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what hb cut is never normal in pren
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<11
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girl is growing to fast 6 0r 7 years with big tis and pubes what drug
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leuprolied or lupron
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what is increased in Renal
decrease |
gfr by 50 % and renal plama flow
BUN and creatint by 25 % |
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when to test msAFP
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15-20 weeks
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when do you start AZT in pregannt pat
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14 weeks continune it on until the end and neotnatal time
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mcc of msafp being incorrect
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incorrect gestation dating
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afp in trisomy 21
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afp and estriol decrease
b hcg and inhib are increased |
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amniocentesis indicated for
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woemen who will >35 years of age
abnorma quad screen RH sensitzed pregnacy to boatin fetal blood tye fetal lund maturity |
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whe can CVS be seen
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10-12 weeks
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CVS disadavante
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risk of fetal loss can not diagnos nerual tube defect
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maganmetn of molar
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bchg
chxrya preform Dand C put on ocps |
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ACEI cuase what to fetus
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fetal renal tubular dysplasi and neonatla reanl failur
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warafin does what to
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nasa hypoplasia stipple bone epiphes developmenta delay
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methoterata
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increase abortion
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cocain
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dowl atreai cerbral infaration
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lithim does what to neonate
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ebstien anomaly
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tetracycline
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discoloration of teeth hypoplasi of tooth enamel
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streptomycin
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hearing loss
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skin scarring choritetintis hypolasi of hands adn feet
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varicella
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gbs is tested when
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36 weeks
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how is GBS tx in preganat
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pencillin
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bp 140/90 after 20 weeks of pregnancy wihout proteniuria
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gestational hypertension
tX is close observation |
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htn 140/90
proteniuriea 1-2 + |
mild preeclampsia
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tx of mild preeclampsia
before 36 weeks |
in hostpiral no antibypertsiv of mg so4
after use oxtocian and mgs04 |
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mechainsim of preempalis
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increase in difuse vasspasma
increase in vaso constircto thromboase and decrease in prostacyclin |
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>160/110
3-4g on 24 urine collection visual change and headache |
severe preecmplasia
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tx tx of severe preecmplasia
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mgso4 hyadralaxina dn abetalol
IV ocxytoci aggressiv prompt delivery |
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what kind of seizure in eclampsia
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unexplasine grand mal seizure
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patho phsiol of eclampisa
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diffues cerbral vasopams
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what does b blockers cause
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IUGR
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2 complication of placent aborto
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hemorrhagic shock acute tublular necrosis
and DIC |
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what is the tx of dvt in pregnacy
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herpain never warafine
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when can vaginal delivery be done in placent previa
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if the lower placent edge is more than 2 cm form the internal cervial os
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painless vaginal bleeding floowed by feetal bradycardia
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vas previa
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tx of vasa previa
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immediate cearea delivery
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what type of scar will most likey rupture
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vertical or classicl
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risk factor of uterine rupture
|
classic uter incision
myomectomy excessiv oxytocian stimulation |
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what to use in GBBS postive
mother and allegric |
IV penicllin G
clindamycina or erythromycin |
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how is gBBS screend
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Vaginal culture
and anus |
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tx of toxo
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pyimethamine and sulfadiazine
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baby with micropthamlai cataract choriretinits etremity hypoplasi zigzag skin
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varicella
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tx of VZIG
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acyclovir
magaemt immune globulin live virus can be adminstreide |
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tx of neonate cmv
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ganciclovir
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how to tell difference CMV
toxo |
cmv peteichae
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what does 2nd syphillus confirmed with
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FTA-ABS
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chorinc hepatis in baby
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HBV
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neonate of hvsAg mother
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passive immuniztion with Hep immunoglobuin and active immunization with hep b vaccin
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maternal hb negative mothers
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hep B passive immunizttion and active immnization is safe in pregangcy
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drug of choice of PMS
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SSRI
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what should be give to all D and C
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Rhogam if negative
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cervilal dilation vaginal bleedin no pic
tx |
D and C
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vaginal bleeding with some poc
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incomplet abortion
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tx of pco
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combination ocp
lower test by supressin glh ocps increase shbg merformin decresa insulin resistance and lower teosteronel ever |
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when in fetal demise
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after 20 weeks
no movements or loss of movements |
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fetal demise what do you need to worry about
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DIC
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mode of delivery for detal demise greater than 20 weeks
|
induction of labor with vagina prostagladin no c/s
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what is a risk factor of prom
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cigartte smoking
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24-35 weeks of viabilti
|
betamethasone bed rest <32 weeks cervial cultrue
amp and erythromyc |
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anovulation or 2nd ammenorea
how do you test for it |
bhg
prolatic and tsh thest cyclic MPA to see if there is any withdrawl bleedin cyclic Mpa to preven endometria hyperpasi then EPCT |
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clompheine
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inhbints estrogen receptor in the thamualso so increase enrh
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i cry with ducryi
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haemophilus ducryi
g neg bacterium |
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painful ucler
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chancriod
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two o in endocardits
|
roth and osler are going to be vasculitis
splinter is going to be emboli |
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olser are painful
|
O shit
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tx of chancroid
|
azithromycin ceftrizaxon or erythromycin
|
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painless ulcer visculopusturlar spontaeulsy hearl grovvoesign
|
lypmograulom veneru chamydia trachomatios
|
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tx of lgv
|
doxycyclien or ertyhtomcyine
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painless beffy reid hgiht vascular ulcer
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grauloma inguinal calymmatobacterium g neg bacterium
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|
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tx of granulma inguinal
|
doxycycline or tmpsmx
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where do you get hirtisum
|
from adreanl or ovaries
DHEA or testortixone adrenal tumor ovari tumor 21 hyxo defeicneyc |
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magnesium overdoes is treat with
|
iv calcium glucaonate
decreased |
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what are the tocolytic agen
|
Mag sulfate
terbutalin and tirodirne calcium changge blocker prostaglad synthetas inhibitors decreasin prostaglaid produtni |
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what are the side effect of mag sulfate
|
decreasin deep tendon reflexe respirato depression and pulmonary edema
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therbutalin and ritodine
|
b agoinst dont use in carida problesm
diabetes or hyperthroidism |
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which calcim channge blockers is used in preterm and what is the contraindication
|
hypotension
nifpideime |
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which ca channel blocker will cause perhipal problems
|
nifpidiem it will cuase hypotension
do not use in hypotension |
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osteoporsis what kind of probles
|
osteclastic activity increase to osterblastic activity
decrease bone density |
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what is specific for nerual tube defects
|
achelochestrease
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what is unchange in respiratory in prengancy
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respiratoy rate
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gbs stagees in neonate
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pneomia and sepsis
menititis in one week |
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when do risk factors gbs
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>18 hrs prom
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what will be a risk factor for toxo
|
goat milk
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imquiod is good bc
|
it no problems with the gential
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what tx is contra in hyperthyroid
|
iodin is
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varicella in mother will have problems
|
varcella pnemonia
give acyolovir |
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phenytoin in neonatl
|
Vtimin K clotign factor
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when to screen women of diabetes
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24 28 be the maximal hPL
|
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when do you start nst and aft
in diabetes |
32 weeks
|
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what is specific congential problem is specific for DM
|
caudal regression syndormw
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uti in pregant patients
|
nitro
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prolapese umblical cord what do you do
|
perform c/s
|
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tx of cat schart dz
|
rifampin
|
|
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epiduarl block complication
|
hypotension from peripheral vasucauar dialtion woing to sympathetis blockade
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which two meds from hyperthyroidism in pregnancy
|
PTU and methimazole
|
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what is the problem with precocious puberty
|
premature clusre of dist epiehyes
|
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girl is growing to fast 6 0r 7 years with big tis and pubes what drug
|
leuprolied or lupron
|
|
|
tx of endometeriosis
|
leuprolie or lupron danzonl
gnrh analogs |
|
|
outpatient PID
|
ofloxacin with metronidazole
|
|
|
what is DUB
how to diagnosis it |
irrergular uterine bleeding
pregnag test geat and no anatomei cuase then it will by anvoultion |
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mcc mortatily in in postmeopuaual women
|
cardiovasuclar dx
|
|
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what is osteoporis
|
decreae bone density
|
|
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where is osteoporiss
|
vertbral bodies
|
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test for calcium loss in osterposris in 24 hour loss
|
hydroxprolien or NTX
|
|
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how to alendronate
risedronate work |
inbiti osteroclatst activyt
bisophoaptes |
|
|
what serm work on bone denisty
|
raloxifine
|
|
|
tamoxifne
|
endometial bone agoins
breats antgoins effects |
|
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raloxifie
|
bone agoins effect
endometria antagoisce effeccts |
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|
mcc premenarch bleedin
|
forigne body
|
|
|
what is the problem with precocious puberty
|
premature clusre of dist epiehyes
|
|
|
cystibic bone lesion and cafe au lait skin spot
precociou puberty |
mcline albright
maagestimulation aof aromatoas enzyme producint of estrogen tx aromatase inhibitors |
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what tumor will cuase pprecoccious puberty
|
granulosa cell tuor estrogen will increase growth of bone
|
|
|
what is DUB
|
irrergular uterine bleeding
pregnag test geat and no anatomei cuase |
|
|
what does the Y chromosme serct
|
MIF which cuase the mulleria duct ot invoulte
|
|
|
vaginal clear cell carcinoma
|
DES syndrome adenocaricoma
|
|
|
warafairn do to neonate
|
chondrodysplasia
optic atrophy |
|
|
preecmplais with no fetal hear tones appreciated
|
molar pregnangyc
|
|
|
complete mole
|
46XX partnally derived
no fetus umbicla cord or amnito fluided no fetal tissue |
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incomplete mole
|
69XX umbiclai coard and amniot fluid
|
|
|
good prognosis malgnant
|
methotrexat follow up for 1 year
|
|
|
poor prognosis metatstaic GTN
|
methoterate actionmycin follow up for 5 years
|
|
|
reactive nst
|
two accleeration in 20 mins window time mettin
|
|
|
what to do in Nonreactive nst
|
vibroacusti stiumatlion
|
|
|
postive CST is good or bad
|
bad
|
|
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if postdates and cervix is not favarboale do what
|
2x weekly biophysicla profiles indcution of labor
|
|
|
does insulin cross the placenta
|
no
|
|
|
gonorrhea tx in pregnant
|
ceftrizaxone
|
|
|
chymadian
|
dont give dox erthromcin or azithromyinc
|
|
|
tx of women who do not breat feed
|
prescribe tight fitting bras ice packs and analegesia
|
|
|
complication of general anesthesia
|
aspiration punemonia
|
|
|
mcc of Uti in pregancy
|
asympotmact bacteriuria
|
|
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why is Uti increase in pregnagcy
|
gravid uters can compress increase progesterone decrease the urteters
|
|
|
pathogen of endometeris
|
GBS
|
|
|
primipas 8x to have what
|
preecplmsia
|
|
|
risk factor for eclamspis
|
multipiel gestatin diabeter melelis age extreme chronei hypereison and chronic rean dx
|
|
|
what is PID increase in
|
IUD placment
|
|
|
what is the dx of chronic PID
|
laparscopi visulatiant of pelvic adhension
|
|
|
maagement of chronic PID
|
lysis of tubla adhesion
|
|
|
inpatient PID
|
clindamycin and gentamincin
|
|
|
PID outpatient
|
cefoxiton or cefoteatn
|
|
|
mcc site for endometerios
|
ovaries
|
|
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dx of endometerisos
|
laproscopy
|
|
|
how is pregnagcy good for enodometeriosi
|
no menstraution progesteron will
cuase atrophi chage sin the endomtrium atrophi change in endometnrium |
|
|
how does danazol and lupron work
|
GNRH aanalog contiunous
se menopausl symptoms |
|
|
if feritliy is desired in endometerisois what do you do
|
surgery lysis the adhesion
|
|
|
what do you do with gonorrhea tx
|
add chylmida tx azitromycin
|
|
|
dx of chlamydia
|
pcr and dna probes
|
|
|
what culture for niesseria
|
thayer martin
|
|
|
mcc site for accuminated
|
cervix
|
|
|
what is increae in Diabties in mother
|
preeclampsia /eclampsia
hyperglycemia retionpathy |
|
|
why are pregnagnt pt hypercougale
|
increase gfr which increase protein S loss
|
|
|
most common location of ectoic pregnanies
|
oviduct
distual ampulla |
|
|
babies spin at what age at what age
|
36 37 weeks
|
|
|
pt presents with afib
|
check thyriod
check tSH |
|
|
hyperemesis gravidum is assoiated with what
|
Hydatif mole
|
|
|
levels of anti D is consider abnormal
|
is abnormal is 1:8
|
|
|
test for of maternal bleeding
|
rosette
|
|
|
amount of hemorrage to quantifiy
to see how much rhogram to give |
kelihauer betket test
or flow cytometery test |
|
|
danazol
|
testersorq
|
|
|
inferetily drugs
|
clomphinen then hmg
|
|
|
clompheine side effect
|
menopausal symptoms
|
|
|
kleihuar betket test
|
voumoe of fetal RBC in the maternal circulation
|
|
|
meonpaula women mcc estorne
|
is from converstion from fat tissue to estrone from adenstorion
|
|
|
fat women have less
|
menopualsal
|
|
|
ritodrine and terbutaline
|
b2 agoinst
|
|
|
ritodint cario side effe3cts
|
hypotension tachyardia
hyperflygceima hypokalemia and pulmeary edema |
|
|
what are the contra in ritodrine
|
cardia dz diabete mellitue
|
|
|
ritodrine cuase edema
|
decrease water clearnaces and increase in renin angio
so increase in NA hypokalemia |
|
|
betablockers does what in pregancy
|
decrease placent blood flow and cuase grow t reatiardion
|
|
|
migranes and graves will impore in
|
pregancy because Blood pressure is decreased
|
|
|
cvs tested when
|
9-12 weeks
for fetal karotypeing higher pregancy loss |
|
|
amino for bilibrum
|
24 weeks
|
|
|
when get the lung maturity studies in amnio
|
34 weeks
|
|
|
nsaids in the pregnagcy
|
should not be used cuases
PDA and incrase miscarrgae |
|
|
Carpala tunnel syndrom in pregancy
|
tx splint no nsiads
|
|
|
precelampia is found 8 times more frequently in
|
primis
rx hyaditform moel diabetse age |
|
|
post menopauls women with clear vagainla discarhge and Ph 5.5
basal epitial |
atropy vaginitis
|
|
|
tx of aropyic vaginits
|
estrogen
make sure there is no uterus vaginal suporritors |
|
|
beta blocker
|
neonata bracycare and hypoglycemain
|
|
|
ace
|
renal dysgeisn oligohydramino pumonary hypolasi and limb contracture
|
|
|
ertymea indurat and tnedernes along alson the spahen veins in her lower leg
|
tx with NSAIDS
superficial thrompbeleitis dont confuse septic thrombophielet |
|
|
enlarged uterus symetteridcal
|
admenosis
endomteral glands in the uterin muscle sever dysmeorrhea nd menorrhgia enlarge symemeter uterus |
|
|
MCC of excessive postpartum bleeding
|
uterine atony
|
|
|
fetal braycardia
fetal demise |
110
fetal varriablie 6-24 |
|
|
fetal tachyracrdya
|
160
|
|
|
`septic aborition
|
first check blood
gental scution and iv antbiotis |
|
|
endometeirs
|
mcc of puerperal fverer
anaerboic use clindamycin with aminoglycosie or ampicllin |
|
|
mastisti tx 7-21 days
|
cloxacillin
|
|
|
increase fsh in 20
|
premature ovairl failure
|
|
|
oxybuting
|
relaxation for hyperactine blader
|
|
|
when do you use bethanechol
|
nuergoenic bladder
after pregangcy and old with diabetes |
|
|
leteal phase defect
|
relative low progesterone secretion by the courpu lutuem
|
|
|
luteal phase defect
|
shor cycy hisoty of sponton abortion abomarl basla body tmeperatur or lovw levewv of
|
|
|
luteal phase defect
|
endometeraial biospy
|
|
|
ABO
|
IGM doest not cross
|
|
|
Rh
|
IGG so will cross
|
|
|
asypomatic bactueriam
|
nitruforium 7-10
|
|
|
fetal hyptation sydon
|
limb hypoplasisa
|
|
|
DUB mcc of abnorma uterien bleedin
|
annoulation
tx IV estrogen is the drung og uncontroleed bleeding' |
|
|
igur asymetteric
|
after 3rd trimester
look for medical problems |
|
|
igur symettric
|
torch
|
|
|
LGV Look for
|
chmaydia antiboies
maybe a previous infection of neissera and look for groove sign |
|
|
ASC
|
repeat pap in 3 months
if unrelaibe proceed directl to colpsocopy and biopsies |
|
|
pt short of breat after amiocenties can baver cardiogenisc shock and seizuers
|
amniocitic fluid embolism
tx respiartoy support |
|
|
PCO what is going to be the complication
|
endometical cancer
|
|
|
bpp of 6
|
contraction test
|
|
|
bpp <4
|
oligohydraminoa
|
|
|
peptic ulcer in pregancy
|
better bc protstagldin
protects mucusla barrier |
|
|
MS in preganacy
|
decreae in incidien
|
|
|
late dec
|
placenta problems
|
|
|
early dec
|
head compression
|
|
|
variable decleatrion
|
umbicial comr comression drop 40-69
|
|
|
cervical cancer with lesion sceen
|
do a punch biobsy
pap will not be enghouh pap is is not enghough |
|
|
schilling
|
lugols idione
|
|
|
psedocyesis
|
rare condition nall all sigh and pregancy usltar sou revela a noram endometrial stripe
|
|
|
missed ab before 16 weeks
after 16 |
DC
deleivery of baby |
|
|
clomphiene se
|
is torsion overain hyperstiumation syndeomre
plueral effusion |
|
|
kiolocytes hyperplasia small teardriop shaped growth
|
hpv
podophillin should be avoided in pregangcy |
|
|
blusih white papular white palques
eptihela thingg tx testotsron cream |
lichen sclerosis
|
|
|
what is athe dx of fetal demise
|
ultrasound
|
|
|
whcih of two torch do you test for
|
rubella and syphillus
|
|
|
complication of D and C
|
asherman syndrome use hysterosalpingogram
tx by hysteroscopi adhesion lysis followe by estorg stiumaton of endometrium |
|
|
lochia rubrua bleeding after pregrancy
|
granuulcytes
|
|
|
42 weeks
|
is not postdates
so dont delievery do nst and BPP |
|
|
43 weeks
|
deleivery is manadotory
|
|
|
painful lympadmepath
non painful lympadhepathy |
LGV
granulamo dovnaion |
|
|
donovaon bodies
|
bipolar staing bacteri found with monocytes
|
|
|
chancroid tx
|
azithromycin
|
|
|
ocp reduce the risk of what cancer
|
ovarin and endometria and breat dz
|
|
|
htn and diabtets risk factor for which cancer
|
endometerial
|
|
|
what not to give lactateing women
|
estrogen can give progestone
|
|
|
birth control in lacting women
|
progestorne
|
|
|
24-34 weeks can give what
|
steriods
|
|
|
if bpp 8 then what do you do
|
repeat in a week
|
|
|
trans abdominal ultrasongaray
|
bhcg has to be 1500-2000
|
|
|
ectopic first do
|
transvaginal watch out for laparscohpy
|
|
|
exercise amernorrhea
|
low fsh and lh sex hormones like estrogen adn testosterone drop
oseoprosos decreased muscle bulk |
|
|
pco treat with what hypoglycemic
|
metformin
helps with reverseing the system |
|
|
pap
|
performed annually once sexually active
after 3 good ones every 2-3 years |
|
|
pms
|
menustaral dairty
have to do it 3 constiuve months Then start SSRI |
|
|
pt coughs everytime she has dribbling
|
kegel exercines
to restor pelvi floor strengh restoration of the urethvesic angel by urethorpexy |
|
|
metro is what to pregancy
|
tetraogenic
use clinda cream |
|
|
preeclampsia pateient with decrease dtr
|
stop mg give ca
|
|
|
when do you do the Rh test
|
1st prenatatl test and repeat 28 weeks
|
|
|
increase afp
|
neural tube defect
abdominal wall defects fetal demise multipe gestat inaccurarte gestainla age |
|
|
acus
|
hpv testing
repeat in repeat every 6 months |
|
|
influeza vaccine
|
in pregant pateints
|
|
|
threathen ab
tx |
can send home if everything is okay
|
|
|
osterporosis risk factors
|
bad alcholo glucosteriods
smoking |
|
|
precocious puberty
|
Rnrh agoinst suppresion therapy
lupron and lupride |
|
|
LUTEAL PHAES DEFECT FIRST STEP
|
PROGESTERON
|
|
|
cleft limp
short limbs |
fetal hypditon from
|
|
|
<34 weeks then the PProm what do you do
|
dexmethasone and bed rest look to see if she is having contractions
|
|
|
hyperplasi without atpia
hyperlasxi with aypia |
cyclic progestion
take out the uterus |
|
|
external cephlaziton can be done when
|
onset of 37 weeks and onste of labor
|
|
|
cervical mucus in the ovulatry phase
|
profuse clear and thin
|
|
|
clear cell is what tye of cancer
|
adenocariconma
|
|
|
blucish shtie papular that can coales into whit plaques
|
lichen slcerosis
management is tetosterone cream |
|
|
mcc invasie vulvar cancer
|
squamonus cell carcinoma hpv
|
|
|
dark or black lesion in vuluva
|
2melanome of the vulva
|
|
|
red lesion postmeonpualw whtie women
|
paget dz hgiher association of other cancers
|
|
|
medical tx of adenmysosis
|
levonorgesterl intrauterine system
defeinte tx surgery |
|
|
optimum time for version
|
37 weeks
|
|
|
hazards are external
|
version umbiclal cord compression
placental abruption requireapig emergen c s |
|
|
mangement of precociou pbuerty
|
1st get dns imagin
gnrh agoinst uprresison leuprolide of lupron |
|
|
MTIIC
|
missed
theraten inevitable incompete complete |
|
|
dead baby with no cervial dilation and nonvialbe
|
missied
D and C |
|
|
low or high aFP
|
do ultrasound to make sure that you have
|
|
|
thin watery cerviacl mucus dischgarea seen with estrogen domianes
|
physiologic dsichagre
|
|
|
increase watery bagina dschare no buring or itch
|
physiolgoic dischare
|
|
|
absence of wbc clue cell tircomaonad or psedohphea
|
physiologic discaghre
tx steroid ocntraception with progestins |
|
|
normal vaginal ph is
|
4.5
|
|
|
what is th path phys of bv
|
predomitna lctob acilli replace by massive increase in anaerobic sped and aerboe
|
|
|
risk fact or bv
|
psotmenopausla low levels of estrogen sexual activity
no itching or buring |
|
|
hellp in creased in what
|
mutigravida
tx prompt delivery use corticosteroids |
|
|
tx of bv
|
metro or clinda orally or vaginal
|
|
|
itching buring and pain with intercourse
|
trichomonas vaginits
|
|
|
vaginal discahre frothy and green
stayberry apperacen |
vatrichomaonas
|
|
|
painful late tirmeste vaginal bleedin
|
abruptio placenta
|
|
|
tx of trich
|
patien and her sexual partner
|
|
|
curdy and whit ph is 4.5
psudoyphaes |
yeart vaginits
|
|
|
txof yeast vaginits
|
fluconazole or vaginal azole creams
|
|
|
hellp is more is common
|
multigravidas
|
|
|
mullerian agensis
|
with associated with long name
|
|
|
what should be given to all women who are getting d and c
|
rhogam
|
|
|
fetal demise before 20 weeks
after 20 weeks |
fundus less than dates
absenc of fetal movements |
|
|
uerin tenderness in the maternal fever
|
chroioamnitnitis
|
|
|
pms that has crazy disorders
|
dysmorphic disorder
|
|
|
how does pcos work
|
Shbg is decrease and Lh is increase
|
|
|
how does ocps decrease pco
|
lower testoster pudoc by suppresisng lh stimulation
ocps will also increase shbg thus decreain free testo level |
|
|
spironlacton is used for what
|
idopathich
|
|
|
how does spironlacto work
|
androgen recept blocker
and suprres 5 alpha reducta ezny converiosn of androstedione and testosteron |
|
|
pco what happens to endometrium
|
no ovulation no corpus lutrem to produce progesteron
unopposed estorgen |
|
|
spirnolacton suppress hari folic and used in what
|
PCO
|
|
|
how to test for Rh immunzaiton
|
indirect coombs test
|
|
|
what is HDN
|
materanl antiboes crossing into the fetal circulation and targitng antigen psotive fetal RBC
|
|
|
when is Rh a problem
|
mother is negative
and fatehr is postive baby postive |
|
|
when is rhogam given
|
Rh D negaive mtoehr at 28 weeks
|
|
|
what is the managemtn of of 39 weeks
|
twince wekly nst and afi
|
|
|
lower portion of the uterus
|
noncontracli portion uteru have to dissect the bladder
|
|
|
most common indictaion of C section
|
celphaic pelic disportion
|
|
|
what is lochia
|
superfical layer of endometradi dicidua
|
|
|
when does locha happend
|
3 weeks postpartum
|
|
|
intrapartum bladder wiht increae psotvoid resdiuarl volumes
|
bethanechol
|
|
|
how to treat perinal pain
|
heat lamp or sitz bath
|
|
|
what should not be used in breast feeding
|
breat feeding women b of the dminishing milk produciton
|
|
|
when do you star ocp in postpartum why
|
in nonlactin women 3 weeks reversal of the hypercoagual stat of pregany dereas the risk of DVT
|
|
|
9-12
15-20 24 28 before 37 43 |
CVS
AFP diabetes rhogam pretem postdates |
|
|
soft uterus palapable above the umbilice
|
uterine massage
|
|
|
2nd mcc cuase of postpartum hemorage
|
vaginal laceration
|
|
|
beefly apperarin bleeding mass
failure to palapte the uterus abdominally |
uterine inverison
uterine repalcement by elevati the bagina fronices lifitn the uter upward |
|
|
bladder never empties
loss of urine day and night |
denervate bladder dibatei or multipe sclerosi
markely increae residuarl volume |
|
|
bethanecol and neostigmine is what
|
cholinergic receptors activators
|
|
|
oxybutyni and propanltheline
|
anticholineterase
inbigitn micturing anticholinergi medicaotn used in hypertonc to stop the involuantr urgency |
|
|
tx of involunatre dtruson contracton
|
anticholere medicaotn oxybutyinin tricycli antdiepressant and nsaids
|
|
|
ovarian hyperstimuatl is side effect of what
|
clompiphene citrate
|
|
|
in anovulation what never develps
|
coupus leutem never delevpos so no progesteron
so upposed estrogen enodmetrial hyperplasia |
|
|
elevated prolcat may be to what medicaton
|
antiphsycot mediaton or antidpressants
|
|
|
twin tiwn trasfuios
|
reciptint baby will be voulme overload >25 fetal weight more blood suppy resultin in excessiv growth polyhydramino and polcytmeia
|
|
|
donor baby in twin
|
growth restricto oligo hydramino and anemai
|
|
|
if molar pregangcy with umbilica cord an amnitod cluuid
|
tripold 69 XXX noram egg and two spream
|
|
|
simple cyst will do what in pregancy
|
regress sponatelys bc the progeston of the preganacy
|
|
|
hep b what do you do
|
immunoglobins to the baby once delievered
can get hep B from brest milk and most common in apt test |
|
|
route of infection of Hep B
|
infect gential secreiton at the time of vaginal deliver
|
|
|
can give hep b to moter
|
yes it is a killed virus
give HBIg passive immunization |
|
|
in stress where is the force go to
|
to the bladder
does not take place when the patien is sleepin pelive exma may revel a cyto cele |
|
|
what is the test is postive in stress
|
q tip
|
|
|
tx of stress incontine
|
kegel exercis and estrogen repalcemtn postmenopuasla
|
|
|
upper uterin segment
|
smooth muscle
|
|
|
lower uterin seqment
|
collagen bieres
|
|
|
most common type of ovarian cancer
|
eptiherlai tumores
|
|
|
most common epthiela tumero
|
serous
ca 125 and cea |
|
|
mcc of germ cell tumor
|
dysgerminoa
x ray senstivie lDh hcg a fetoproteiin |
|
|
protective factors for ovairna cancer
|
decrease the total number of lifetime ovulation
ocp chroni anovluation breat feeding |
|
|
tocolytic contraindication
|
abruopti palcenta rupture membranes choriamniontis
letatl anomaly featl demise eclampsia sever preclampsi advanec cervial dilation |
|
|
cyst that are in molar pregacyc bilater
|
theca lutein cyst
grows bc of the bhcg |
|
|
loss of urine is continually
|
hz of radical pelve suregery or pelvie raditon therapy
|
|
|
dx of fisturla
|
urinar trac fistural
surgical repain of the fistural |
|
|
urge
|
idiopathe detruso contracon
urgency invoulatr dtrsuo contracton antcholeiric medication oxybutyinin tricycl anitdepressants |
|
|
mullerian agensis
|
rokitansky kuster hasuer syndrome
|
|
|
what does the mullerina do not give rise to
|
oavaries so those guys have normal pubic and axillary hair
teststoen lvev are normal female |
|
|
androge inseisty
|
testonsle level are normal male no pubic or axilalary hari is noted
|
|
|
leilomyomas that are not causeing problems
|
observation
|
|
|
pt with fibriods that the wants to have babies
|
myomectoy
|
|
|
can GnRh be used for leiomaya for defeinct tx
|
NO
|
|
|
cocaine of baby
|
interina atresia libme recdution defect and brain anomalies
|
|
|
women with hypoperfusion
|
immediatily think sheehans so prolactin will be fucked up
|
|
|
what is respiratoyr thing increase in preganacy
|
tidal voulmue so minute vetiation is increased
|
|
|
the only respirat that increase in pregnancy
|
tidal volume
|
|
|
mucopurulent cervical discharge
|
chlamydia
|
|
|
postcotial bleeding
|
cervical cancer
|
|
|
thing flexed and legs are extende
|
vaginal delviery may be slafy considerd
feet to the head frank breech |
|
|
complete abortion
|
normal endometrail stripe
tx conservation get bhcg titiers |
|
|
hiv mother
|
do c/s
|
|
|
ovarian cancer with high bhcg
|
choriocarcinomas
|
|
|
what cuases poly
|
diabetes mellitus
|
|
|
what trimester does CMV happen
|
any trimester
|
|
|
what percanate of cmv will have sympotmos
|
10%
|
|
|
how does mother look in cmv
|
mononucleios-like syndrome with hepatitis
|
|
|
how is cmv spread
|
body secrtions
|
|
|
lumpy bumpy endomteriom
|
subseroumyomas
|
|
|
estradiol
estriol estrone |
reproductive
menopuase postmenopause |
|
|
cervical is staged how
|
clinical
|
|
|
what happens if the previa occures over a previou uterine scar
|
villi may invade inot the myomterim reslutin in palcent accreta
|
|
|
how do nicotine symptoms look
|
cramps fasciculatins twitching weakness and areglexia
paralysis of volunatary mscle inclding respiato |
|
|
stage three
|
delivery of fetus and endos with espulsion of placent
myometrial ocntraciotn sher off the anchoirn villi |
|
|
cerivacal dilation ending with complete cervial dilation
purpose is rapide cervial dilation |
active phase of stage 1
|
|
|
compelt cerivcal dilation and ends with delivery of the feturs
|
stage 2
|
|
|
onset of hirtusim gradual
psotivie family history mensus and fertitli are normal |
idioppathc
normal levels ot testosteon DHEA 170h tx is spironolactone |
|
|
what effect does progestroen have
|
smooth mucscle relaxation
|
|
|
how often does hcg double
when does it peak |
every 48 hours
peaks at 10 weeks |
|
|
tx of iodoatpatic
|
5-alpha reductian acitvity
with spironlacto |
|
|
vaginal bleeding unilater lower abdomitn pelvic pain and amenorrhea
|
ectopic
|
|
|
if ruputre ectopic what to you use to tx
|
emergency lapartomy
|
|
|
early tx of ectopic
|
mehtotrexate
|
|
|
advance pregancy in ectopic
|
laparoscopu
|
|
|
how is cervical cancer staged
|
clinical intravenou peylogram
|
|
|
primary dysmenorrhea
|
when proestoern withdraw bleed occure porstagladin indcue spira ateriolar spanw excessi myometiral contracion
|
|
|
ovairn tumer in yonger women 20 year
|
dysgerminomas
increase in LDH |
|
|
invasive cancer before 24 weeks
|
hysterectoy or radiation thearpy
|
|
|
Fetal heart tones when
|
10 weeks
|
|
|
invasvie cancer after 24 weeks
|
conservatin magement up to 32-33 s
|
|
|
CIn in pregancy
|
do colpo every 3 months
|
|
|
tx of uterin atony
|
uterine massage and oxytocin methlergonvine
|
|
|
if have htn before 20 and then has preeclmaposi
|
superimpose preeclampisq
|
|
|
endodermal sinus tumors
|
AFP highly responsive to chemotheapy
|
|
|
rupture ectopic
|
lapartomey
|
|
|
mcc of DUB
|
anovulation
unoposed estrogen endomter is unstable random disorderly breakdown |
|
|
how will the mucus be in DUB
|
clear thin watery
|
|
|
tx of DUB
|
yclic progestin
|
|
|
hypertension that has no protenuria
|
gestinal hypertension after 20 weeks
|
|
|
recurrent cin 2 and 3
|
hystercotmy
|
|
|
cin 1,2 3
|
cryotherapy laser
|
|
|
spriolacton
|
is a an androge recept blocker and and follicle -a reductianase
|
|
|
urinary loss takes place day and night pateitn
|
overflow hypotone markelty increase reidular volume
|
|
|
what is absent in chronic PID
|
mucoprulent cerivaldis discarge
|
|
|
disbitlaer cystinc enlargemtn of voary
|
theca lutein cyst
|
|
|
mcc site for condylamoa acuminatum
|
cervix
|
|
|
mcc of anorgasmia
|
inadequat clitroa stimulation
|
|
|
excitemtn disorder mcc
|
estrogen deficiey
|
|
|
pyelonephertis in pregant pt
|
ampicllin and genatmicin
hospital admission |
|
|
bengi slitary lesion involving the epthelime of lactiferou duct
bloody discarge |
intradutal papilloma
|
|
|
subacte inflamte with dialted duc tender nigpple thcik dar dischage subareolar mass
|
galactoele in lacting women
|
|
|
tx of intraducatal papillom
|
total exciison of the duct and papillom incision
|
|
|
simple cyst in reporductive age women what do you do
|
repeat Us in one month just to make sure it is not a problem
|
|
|
Ovaries palpable bilateraly
in post menopuala women |
never normal
|
|
|
simple cyst maganemetn
|
observation but carefull folw up in 6-8 weeks
|
|
|
most common cuase of pelvic amss in pregancy is
|
pregancy
|
|
|
histologic grade is the most importan prognost facto
|
endometria cancer
|
|
|
why do competel mole get hyperthryoidism
|
Bhcg is equal to tsh
|
|
|
which mole will go to malignecy more
|
complet
|
|
|
what is essitnal in molar pregancy
|
effectiv contraception to ensure no confusion betwee rsih bhcg
|
|
|
dz of 1st pregancy
|
preecmplasi
|
|
|
complication of leep
|
cervial stenosis
|
|
|
umblica cord amniot fluid and fetus multipe cyst on placent
|
incomplete mole
|
|
|
spren coutn ph voluem motilit morpholo and wbc count
|
semen analysis
|
|
|
mcc of contraception
|
tubula lighation
|
|
|
why increase dvt in pregancy
|
progesteron smooth muscle relaxation more statis
estorgen incrase will cuase |
|
|
2nd ameenora
|
failue to mentstar for 5 ormore motnhs
|
|
|
tx of dvt early in pregangcy
|
36 change to unfractied herpairns
|
|
|
ekg of dvt
|
eaked t wae sinu tachycardi right axis devation st changes
|
