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26 Cards in this Set
- Front
- Back
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Ovarian Cyst types
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Unilateral pelvic pain
Follicular cyst- in first 2 weeks of cycle Corpus Luteum cyst - in last 2 weeks of cycle over 3cm are at risk for torsion Tx: none needed. Will self resolve |
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Ovarian torsion
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Unilateral acute pain
Dx: U/S Tx: laparotomy |
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Cervicitis
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cervical irritation +/- D/C
chlamydia and gonnorrhea Tx: Ceftriaxone 250mg IM and azithromycin 1g PO x1 or doxycycline 100mg bid x 14d |
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PID
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pelvic pain
Chandallier pain send urine for NNAT U/S to r/o abscess Tx: cefoxitine 2g IV, and doxycycline 100 bid x14 |
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Fitz-Hugh Curtis Syndrome
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RUQ pain
PID and infection of liver capsule |
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Bacterial Vaginosis
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copious, thin white D/C
Gardnerella Clue cells on wet mount Tx: Flagyl 500mg PO BID x7 days |
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Candidiasis vulvovaginitis
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cottage cheese D/C
flagellated organism on wet mount Fluconazole 150mg PO x1 or vaginally clotrimazole |
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Trichomonis
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yellow, malodourus D/C
Tx: metronidazole 2g PO x1 or 500mg BID x7 days and treat partner |
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Hydatiform moles and trophoblastic tumours
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snowstorm on U/S
can be malignant |
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labour descriptors
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effacement 0-100%
dilation 0-10cm Station -2 to +2 ischial spines |
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labour stages
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I: from pushing to full dilaion
II: from full dilation to deliver III: from delivery to deliver of placenta |
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cord prolapse
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get pressure off cord
go to emergency C/S |
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shoulder dystocia
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call for help
flex legs episiotomy suprapubic pressure (on anterior shoulder) Woods maneuver (reach inside and rotate anterior shoulder) Remove posterior arm fracture clavicle |
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Endometritis
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typically 2d post partum
pelvic pain foul D/C fever leukocytosis Tx: IV amp and gent |
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Mastitis
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engorged/infected breast duct
Tx: warm compresses and keflex |
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Placental abruption
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RF: cocaine
smoking trauma S&S: painful abdominal bleeding in 3rd trimester Dx: FHR monitor |
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Placenta previa
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painless vaginal bleeding
Dx: U/S avoid digital exam in 2nd half of pregnancy bleeds. Speculum exam ok |
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premature rupture of membranes (rupture before contractions) and preterm premature rupture of membranes (<37 wks)
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Dx:
check with nitrazine paper (pH >6.5) (blood, semen false positives) Fern test Tx: admit and bedrest with expectant management |
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Pregnancy induced hypertension
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>20 wks and develop HTN
No protein in urine No edema or signs of pre-eclampsia |
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Pre-Eclampsia
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HTN and
Proteinuria May also have: Generalized edema ARF elevated LFTS H/A hyperreflexia RUQ pain blurred vision Tx: Delivery, labetalol, hydralazine, MgSO4 |
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HELLP
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A variant of preeclampsia
Hemolysis elevated liver enzymes Low platelets S&S: have RUQ pain |
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Threatened, inevitable, incomplete abortions
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1st tri bleed with closed os
1st tri bleed with open os and no products passed 1st tri bleed with open os and some products passes Tx: require U/S and serial BHCG |
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Ectopic
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unilateral pain
pain referred to shoulder Dx: No IUP on transvag with HCG >1500 No IUP on transabdo with HCG > 6000 |
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Post partum hemorrhage Tx?
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Bimanual uterine massage/compression
Remove uterine clots Repair vaginal lacs Oxytocin 10mg IV Misoprostol 600mcg SL Ergotamines |
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Nuchal cord tx?
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check for cord around neck after head delivered
If loose unwrap it If tight and stopping delivery clamp and cut If tight and not stopping delivery just deliver |
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stable menorrhagia or metorrhagia Tx?
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OCP
NSAIDS Tranexamic acid Medroxyprogesterone 10mg/d x 10d |
