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16 Cards in this Set
- Front
- Back
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Medical Management of Stress incontinence |
1) Conservative: Lose weight, reduce fluid, pelvic floor exercises, vaginal cones. 2) Medical: Duloxetine (SNRI) enhances urethral striated sphincter activity |
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Surgical options for stress incontinence |
1) Tension free vaginal tape (TVT) 2) Transobturator tape (TOT) |
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Conservative management of overactive bladder |
Reduce fluid, caffeine, review meds (diuretics, antipsychotics). Bladder training through timed voiding, pelvic floor exercises |
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Medicines used in Urge incontinence |
1) Anticholinergics: suppress detrusor overactiviy 2) Desmopressin: reduces urine production by 50%, useful for nocturnal symptoms 3)Imipramine: TCA useful in noctururia 4) Mirabegron: Beta3 agonist. Newer. less SEs 5) Botulin toxin A 6) Sacral nerve stimulation 7) Surgery |
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Medical management of a nonviable intrauterine pregnancy |
>14 weeks Mifepristone (antiprogesterone) at time of diagnosis. 48hrs later given misoprostol vaginally <14 weeks: Misoprostol alone: 2 sublingual or vaginal doses of 600ug at least 4hrs apart (softens cervix and stimulates the cervix to contract) Surgical: ERPC: cannot be done after 14 weeks |
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Management of hyperemesis Gravidarum |
IV Rehydration Anti emetic (Cyclizine, Metoclopramide, Odansteron) |
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Antibiotic of choice for pyelonephritis |
Cefotaxime 1g TDS, IV for 48hrs and then switch to PO |
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Candida infection |
Topical imidazoles e.g. Clotrimazole or Oral Fluconazole |
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Bacterial Vaginosis |
Metronidazole or Clindamycin cream |
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Chlamydia Trachomatis |
Azithromycin 1g Stat PO |
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Neisseria Gonorrhoeae |
Ceftriaxone 500mg IM single dose
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Condylomata acuminata (genital warts) |
Topical podophyllin |
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Genital Herpes |
Aciclovir |
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Chorioamnionitis |
Benzylpenicillin 3g initially followed by 1.5g every 4hrs. Gentamicin 5mg/kg OD IV. Metronidazole 500mg TDS IV
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Postpartum Endometritis |
Benzylpenicillin and Gent |
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PID or Salpingitis |
IM ceftriaxone followed by doxycycline and metronidazole |
