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34 Cards in this Set
- Front
- Back
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False Positives of Pregnancy Tests
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Gross hematuria and proteinuria.
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Class A
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No problems taking these drugs Shown to be safe in humans
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Class B
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Shown to be safe in animal studies.
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Class C
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May be harmful in animal studies. Benifits must outweigh risks.
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Class D
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Human studies show problems for fetus. Ex. Phenytoin
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Class X
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Shown to be bad for human fetus. Isoretinonin and thalidomide.
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Radiation and Pregnancy
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Need to be under 20 RADS for the first trimester. An X-ray has about 5 Rads.
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NSAIDs and Pregnancy
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Decrease blood flow to fetus.
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Hyperemesis Gravidarium
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Severe weight loss of >5% of pregnancy. May have hypokalemia, ketonemia.
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Nausea and Vomiting in Pregnancy
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May be due to pregnancy, however, must keep in mind appendecitis, gall stones, obstructions, can all still occur.
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Biggest Risk Factor for Ectopic Pregnancy
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Previous Ectopic Pregnancy
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Epidemiology of Ectopic Pregnancy
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10% in ER of pregnant women have ectopic pregnancy.
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Location of Ectopic Pregnancy
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95% located in the fallopian tubes.
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Visualization of Pregnancy
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Transvaginal can find IUP if hCG is greater than 1500. Transabdominal IUP can be found with pregnancy hCG >4000.
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Must be Visualized on Ultrasound
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To confirm pregnancy must see yolk sac, gestational and fetal pole.
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Threatened Abortions
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Is vaginal bleeding where the OS is closed, there are no products of conception. Treated with bed rest
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Inevitable Abortion
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Is when cervix is opened, no products of conception. D and C with Rhogam given.
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Incomplete Abortion
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Is when os is open and POC can be visualized. Treat by removing POC.
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Complete Abortion
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Os is closed and POC have completely passed.
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Missed Abortion
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Os closed. POC have not completely passed. Treat with D and C and rhogam.
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Abortions and Rhogam
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Given 300mcg IM with in 72hrs.
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Placenta Privea
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Painless bleeding in the 2nd or 3rd trimester. DO NOT DO PELVIC EXAM. Occurs due to placenta implanting over the interal os.
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Placenta Abruption
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Premature seperation of placenta that is very painful. Risk factors include smoking, cocaine, HTN, and previous c section.
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Clinical Presentation of Molar Pregnancy
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Preeclamptic less than 20 weeks. Abdomen may distend very quickly.
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Pre-ecclampsia
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Is a blood pressure 140/90 or has increased by 20 SBP or 20 DBP. Present with proteinuria, nausea vomitting..
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Treatment of Pre ecclampsia
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hydralizine and labetalol. Magnesium (check for hyporeflexia).
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HELLP Syndrome
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Hemolysis, elevated liver enzymes and low platelets. Presents with RUQ pain and Ecclampsia
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Number 1 Cause of Uterine Atony
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Post partum hemorrhage.
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Trauma in Pregnancy
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Lay mom on left side. Takes 30 to 35% blood loss before signs of hemorrhagic shock occur. If these appear than fetus is likely
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Evaluation of Ovarian Torsions
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Color flow doppler.
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Bacterial Vaginosis
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KOH whiff test that smells like fishy dicharge. Alkaline.
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Trichomonia
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Frothy discharge with strwberry cervix.
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Treatment of Gonorrhea
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Ceftrioxone.
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Treatment for Chlymydia
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Azithromycin or doxycline.
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