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10 Cards in this Set
- Front
- Back
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A 45 year old woman comes in with excessive menstrual bleeding that won't stop. What sorts of things do you ask on the hx?
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-sexual activity and pregnancies
-amount of bleeding -LMP -length of periods -risk factors: smoking, EtOH -weight loss -tiredness, pallor, dyspnea, heat/cold intolerance -weight changes, hair/skin changes -easy bruising or bleeding -meds: OCPs, warfarin, heparin, ASA |
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A 45 year old woman comes in with excessive menstrual bleeding that won't stop. What sorts of things do you do on the px?
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a
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What are the layers of the adrenal cortex? What do they make?
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Go Find Rex, Make Good Sex
-glomerulrosa, fasiculata, reticulata -mineralcorticoids, glucocorticoids, sex hormones |
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What are the four causes of post-partum hemmorage
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4 'T's:
Tissue (retained placenta) Tone (uterine atony) Trauma (traumatic delivery, episiotomy) Thrombin (coagulation disorders, DIC) |
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Differentiate between when CVS and amniocentesis are performed
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"Chorionic" has 9 letters and Chorionic villus sampling performed at 9 weeks gestation.
"AlphaFetoProtein" has 16 letters and it's measured at 16 weeks gestation. |
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What are the normal numbers for pH, gestation, oocytes, and menstrual cycle?
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4's and 40's:
-4 is the normal pH of the vagina. -40 weeks (from LMP) is the normal gestation period. -400 oocytes released between menarche and menopause. -400,000 oocytes present at puberty. -28 days in a normal menstrual cycle. -280 days (from last normal menstrual period) in a normal gestation period. |
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What questions do you ask prenatally?
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ABCDE:
Amniotic fluid leakage? Bleeding vaginally? Contractions? Dysuria? Edema? Fetal movement? |
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What are the pelvic shapes?
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Daleks the GAPing platypus:
Gynecoid Android /Anthropoid Platypelloid |
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What is the classic triad of pre-eclampsia?
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PREeclampsia:
Proteinuria Rising blood pressure Edema |
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What are the RISK FACTORS for post-partum hemmorhage?
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PARTUM:
Polyhydroamnios/ Prolonged labour/ Previous cesarian APH/ ANTH Recent bleeding history Twins Uterine fibroids Multiparity |
