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19 Cards in this Set
- Front
- Back
What BP defines preeclampsia?
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140/90 after 20 wks gestation
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Diagnostic criteria for preeclampsia?
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HTN, and proteinuria and/or edema
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Risk factors for preeclampsia?
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multiple gestations, chronic HTN, previous preecla, renal dz, DM
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What phys changes are ass w/preeclampsia?
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ineffective trophoblastic invasion of spiral arteries, vasospasm, TXA>PGI causes vasoconstriction platelet agg.
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Clinical symptoms that can signify preeclampsia?
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HA, visual changes, epigastric pain
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What are the consequences of preeclampsia in the renals?
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decreased GFR causes increased uric acid and Cr
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How is HELLP different from normal preeclampsia?
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little or no htn or proteinuria
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Ovulatory disorders that cause infertility?
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PCOS, HPA dysfxn (stress, anorexia), hypothal/pit lesions, endocrine, ovarian les
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Clomiphene citrate MOA?
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blocks hypothalamic ER resulting in increased GnRH and inc FSH/LH
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Who can benefit from clomiphene?
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anovulatory pts who have an intact hypothal/pit/ovarian axis
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Why is hcg added to fertility tx?
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b/c it acts like the LH surge
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What does hmg do?
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follicular growth/maturation only (need hcg to induce ovulation)
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Which hormones do hcg and hmg act like?
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hcg-lh. Hmg-fsh
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Ovulatory disorders that cause infertility?
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PCOS, HPA dysfxn (stress, anorexia), hypothal/pit lesions, endocrine, ovarian les
|
|
Clomiphene citrate MOA?
|
blocks hypothalamic ER resulting in increased GnRH and inc FSH/LH
|
|
Who can benefit from clomiphene?
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anovulatory pts who have an intact hypothal/pit/ovarian axis
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Why is hcg added to fertility tx?
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b/c it acts like the LH surge
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What does hmg do?
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follicular growth/maturation only (need hcg to induce ovulation)
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Which hormones do hcg and hmg act like?
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hcg-lh. Hmg-fsh
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