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26 Cards in this Set
- Front
- Back
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what is cervagem used for?
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1st trimester: softening and dilation of cervix for easy medical manipulation.
2nd and 3rd trimester: termination of pregnancy. |
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cervagem contain?
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Prostaglandin E.
it cause contraction of uterus. |
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in what form cervagem is available? where we put it?
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in pessary.
at posterior fornix. |
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how many cervagem is used for termination of pregnancy purpose? at what interval?
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5 pessaries.
at 3 hours interval. |
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complication of cervagem?
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excessive bleeding
rupture of uterus. |
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who are at risk for uterine rupture in case of cervagem use?
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multiparous (weak uterus)
patient with decrease uterine laxity. scarred uterine. polyhydroamnion. |
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what is polyhydroamnions?
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excessive amniotic fluid in ther gravid uterus.
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how to determine polyhydroamnion?
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by u/s
more than 24cm. |
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what is the symptom of trisomy 18?
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clenched finger.
small head small jaw malform ear crossed leg deformed chest |
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causes of polyhydroamnion.
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dm, di, rh isoimmunization.
foetal defect. (cns, cvs, git) chromosomal defect. (trisomy) infection unknown ethiology. twins |
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does baby drinks up the amniotic fluid?
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YES!
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symptom associated with polyhydroamnion.
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too large for the actual date.
dyspnoe constipation heartburn decreased urination |
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complication of polyhydroamnion
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pain (dt extension in abdomen)
premature born premature rupture of membrane hydrops fetalis unstable lie abnormal lie pressure symptom |
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polyhydroamnion effect to fetal engagement
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late engagement. top much space to swim, and cudn find the right place to get engaged. haahaha. lols.
high risk of abnormal lie |
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management of polyhydroamnion
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amnioreduction
medication (indomethachin to decrease baby kencing) pre term labor close observation |
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pseudoprimid
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pregnancy till 22/24th weeks only
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types of hypertension in pregnancy
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1. chronic hypertension
2. pre-eclampsia-eclampsia 3. pre-eclampsia superimposed on chronic hypertension 4. GHTN |
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difference in primary and secondary infertility
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primary: never had the chance to get pregnant
secondary: has had been pregnant before |
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onset of pre-eclampsia
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2oth weeks onward
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sign of pre-eclampsia
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proteinuria
edema htn |
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other variant of pre eclampsia
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HELLP SYNDROME
HEmolytic anemia Elevated liver enzyme Low Platelet |
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Classification/ degree of HELLP syndrome
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4
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measurement of blood pressure to confirm htn in pregnancy
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systolic >30
diastolic >15 |
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treatment of HTN during pregnancy
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methyldopa, labetolol tab.
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if hypertension crisis occur, what medication?
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i/v hydralazine
i/v labetolol |
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shud we give pitocin (oxytocin) to post c sec patient? why?
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YES
so the uterus contract n go back to normal shape reduce bleeding |
