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105 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Antiphospholipid antibody syndrome |
◆primary = ANA negative , secondry ANA = posative ◆False posative cause of VDRL test ◆Prolonged PTT & thrombocytopenia ◆Aspirin & LMWH |
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Abruptio placenta |
◆HTN most risk , trauma ,cacoin use ◆Abdominal & back pain ◆varible bleeding , ◆FH abnormalities ◆Complication = hypivolemic shock , DIC |
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biophysical profile |
◆8-10 nrmal ◆6 equivocal ◆< 4 indication for delivery |
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Tachysystole |
◆⬆Risk of CS , low pH umbilical cord , ICU |
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Oxytocin |
◆Hypotatremia , hypotention , tachysystole |
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Klumpke palsy |
8th cervical & 1st thoracic T1 injury |
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Fluctuant |
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Quadruple screen |
◆⬆Level of b-hCG & inhibin ◆⬇level of maternal alpha-fetoprotein msafp & estriol ◆Down syndrome |
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Group B streptoccous infection |
Screening by Culture of rectum & vaginal at 35-37 weeks ◆Penicillin |
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Cell-free fetal DNA testing |
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Wernicke encephalopathy |
Complication of HG , result from thiamin deficiency , = encephalopathy + oclumotor dysfunction gait ataxia |
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Sheehan syndrome , postpartum hypopituitrism |
◆Complication of hemorrhage , pituitary necrosis Wt loss , hypotension , fatigue , no breast feeding |
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Gastroschisis |
Frist-trimester use of NSAD |
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Nonreactive NST |
Followed by ◆Biophysical profile ◆contraction stress test CST- contraindicated to labour |
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Placenta accerate |
Utireni villi attached to myometrium instead of the decidue |
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Postpartum endometritis |
Polymicrobial infection ◆Fever >24 hrs , purulent lochia , uterine tenderness , ◆Clindamycin + gentamicin |
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Preterm labour |
True labour before 37 week , ◆Manage by = tocolgtic agent ( nifedipine , indomethacin ) + corticosteroid and magnesium sulfate for > 32 week for fetal neuroprotection |
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Septic pelvic thrombophlebitis SPT |
Postoprstive or postpartum infected thrombosis of deep pelvic or ovarian veins ◆Bilateral lower quadrant tenderness ◆Persistent fever ◆AB , anticoagulation |
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Lithium. |
Ebstein's animaly |
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Uterine inversion |
Risk factor : nulliparity , fetal macrosomia , placenta accreta , ralid labor & delivery ◆Smooth & round mass protruding through the cervix or vagina ◆Hemorrhagic shock & LOwer abdominal pain ◆Bimanual replacement |
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Adenomyosis |
◆Presence of endometrial gland in the uterine gland Chronic pelvic pain + dysmenorrhe + heavy menstural bleeding ◆Uterus symetrically enlarged , boggy ,mobile , tender ◆U/S , MRI |
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Trastuzumab therapy = herceptin |
Treated breast cancer that is HER2 +ve ◆Cardiotoxicity |
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Bartholin cyst |
Soft , mobile , nontender mass located base labia majora ◆Synptomatic = incision & drainage followed by word catheter replacement |
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Litchen sclerosus |
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Tamoxifen |
Adjuvant therapy in hormone posative breast cancer ◆estrogen receptor modulater estrogen receptor antagonist in the breast & agonist utrus ◆Hot flashes = side effect ◆⬆risk of endometrial cancer & venous thromboembolism |
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Condylomata acuminata genital wart |
◆HPV 6 & 11 ◆ |
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Clear cell carcinoma of vagina & cervix |
◆Mum use diethystilbestrol ◆in utero exposure to diethystilbestrol |
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Endometrial adenocarcinoma |
Most common gynecologic malignancy ◆Heavy prolonged bleeding Risk factor ◆Obesity ◆Chronic anovulation / PCOS ◆Nulliparity ◆Early menarch / late menopose ◆Tamoxifen use |
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Genito-pelvic pain/panetration disorder vaginismus |
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Choriocarcinoma |
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Granulosa cell tumor of the overy |
Ovarian neoplasm that secrete estrogen may accur in prepubertal girl or postmenopausal women |
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hCG |
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Intraductal papilloma |
Benign condition , unilateral bloody discharce |
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Lichen sclerosus |
Chronic inflammayory condition of the anogenital region ◆autoimmune immune pathogen related to other autoimmune disorder ◆Intense pruritis , dysparunia , dysuria , painful defecation ◆Punch biopsy ◆Topical corticosteroid |
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5-alpha-reductase activity |
Convert testesteron to active form , ⬆ hair growth |
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Mittelschmerz |
Normal ovulation pain in middle MC ◆Unilateral pain for one day |
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Epithelial ovarian carcinoma |
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Atypical glandular cells AGC |
May be due to cervical or endometrial edenocarcinoma |
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Endometrial hyperplasia |
Precursor of endometrial adenocarcinoma ◆Pathogenisis = chronic stimulation of endometrium by strogen , obesity , anovulation |
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Lynch syndrome |
Colorectal & endometrial cancer due to germline mutation mismathc protein |
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Selective estrogen receptor modulater |
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Rectovaginal fistula |
Occur after obstetric trauma , incontinance of flatus & faces through the vagina ◆Red velvety mucosa may present on posterior vaginal wall |
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Primary syphilis |
Painless chancre begin as papule and convert into nonexudative ulcer + bilateral lymphadenopathy |
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Detrusor hyperreflexia |
Most common urodynamic abnormality in MS = neurogenic detrusor overactivity |
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Culdocentesis |
Determine intraabdominal fluid - serous , purulent , bloody - ◆Nonclotting blood = active intraperitoneal bleeding Hematocrit > 15% = repture ectopic pregnency , less than 8% = rupture ovarian cyst ◆Clotting from vein or artery |
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Mullerian agenesis |
Female , congenital absent or underdeveloped uterus , cervix , upper vagina |
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Complete insensitivity syndrome |
◆46 XY male - phenotypically female , ◆androgen receptor defect , no penis no scrotum , no hair , ◆Caryptorchid testes ◆Gonadectomy for risk of melignancy |
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Emergency contraception option |
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Primary amenorrhea |
◆No breast development = FSH ◆⬆FSH = karyotyping ◆⬇FSH = MRI |
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Placenta previa |
◆Painless vaginal bleeding Risk factor : multiparity , smoking , previous uterine injury |
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Polyhydramnios |
◆Deepest vertical pocked of amniotic fluid > 8 , amniotic fluid index > 25 |
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Oligohydromnious |
Deepest vertical pocked of amniotic fluid <2 , amniotic fluid index <5 |
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Magnesium toxicity |
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Severe preaclampsia |
Labetolol , hydralazine , nifrdipine |
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Magnesium sulfate = tocolysis |
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High potency vaginal steroid |
Clobetasol lichen sclerosis |
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Intertrigo candida |
Erythematous dermatitis ◆Following immune suppression ◆Clotrimazole |
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Granulosa cell tumor |
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ABO hemolytic disease |
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Heavy bleeding due to anovulafory cyle |
Oral progestrone therapy |
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Gestational DM |
Human placenta , ⬆⬆production lactogen , somastatin Fasting > 140 |
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Wernicle encephalopathy comp.hyperemesis gravidarum |
◆Thiamine deficiency ◆encephalopathy , oculomotor dysfunciom nystagmus , gait ataxia |
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Osteogenesis imperfecta type 2 |
Type 1 collagen deficiency |
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Lamotrigine mood stabilazer |
Safe during pregnancy |
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Valoprate |
Neural tube defect |
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Strongest risk factor for preterm |
Prior history of preterm.. |
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Comp. Of abruptio placentae |
DIC |
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Aclinomyces colonize IUD |
Cause PID , flamentous gram posative cacilli |
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Amphetamine use during pregnancy |
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Osteoporosis risk factor |
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Estimation fracture risk |
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Pubic symphysis diastasis |
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Epidural anesthesia cause hypotension |
Due to vasodilation and venous pooling |
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Epidural anesthesia cause postural headeches |
Leakage of CSF |
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Diagnosis of ectopic pregnancy |
Pregnancy test + trans.u/s |
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Uterine inversion |
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Sphylis treponema pallidum |
Vdrl test frist. ◆Confirm by FTRAAT ◆Treated by penicillin and desentize if allergic |
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Klumpke palsy |
◆Perminant complication ◆injury of 8th , T1 thoracic nerve ◆Hand paralysis & ipsilateral horner syndrome |
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Erb-duchenne palsy |
Bracial plexus injury 5th 6th cervical nerve ◆intact grasp reflex ◆absent moro reflex |
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HepC in pregnancy |
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Asymptomatic bacturia in pregnancy |
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Alpha reductase activity |
Estrogrn to testesterone |
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Fetal growth restriction |
◆Placenta insufficiency ◆Placental histopathology |
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Medroxyprogestrone DMPA |
Im injection every 3 month ◆Inhibit release of Gn-releasing hormone , suppress ovulation |
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Sholder dystocia |
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Amniotic fluid embolims |
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Evaluation of fetal demise |
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Umbilical artery flow velocimetry |
Estimation of fetal gtowth restriction |
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Prenetal testing |
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Recurent variable decelarion due to cord compression |
◆Maternal reposition ◆Amnioinfusion |
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Theca lutein cyst |
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Magnesium toxicity mainly renal insufficiency |
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Congenital zika syndrome |
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Delivery of nonviable fetus |
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Maternal HIV |
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HELP syndrome |
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Gestational hyperandrogenism |
◆Maternal ovarian mass ◆Fetal placental aromatSe deficiency |
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Hyperandrogenism in pregnancy |
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Monochorionic twin |
T-T transfusion syndrome |
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Monocorionic moamniotic |
Cord entanglement |
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Most common cause of nonreactive NST |
Quiet fetal sleep cycle |
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Uterine adhision synechiae |
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Gyne |
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Incontinance |
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Vaginal cancer squamous lesion upper third of vagina |
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