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13 Cards in this Set
- Front
- Back
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What is the single most used diagnostic procedure for ectopic preg?
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US
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Who is at greatest risk of ectopics?
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non-whites
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How are the incidence and fatality rates of ectopics changing?
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Fatality rate decreasing, incidence increasing.
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If reproductive aged woman has abdominal/pelvic pain or unexplained hypovolemia, what tests should be done?
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Urine HcG, qunatitative serum pregnancy test
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Is you suspect an ectopic & US is undiagnostic, what procedure can be done?
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1. Culdocentesis--insert needle into posterior culdesac & if you get non-clotting blood, that indicates you have ongoing hemorrhage inside.
2. Laparoscopy: lets you see ovaries, tubes, remove ectopic |
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What are the sx's of acute appendicitis?
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-1/2-2/3 of pts have abdominal pain, N, V; pain localizes to RLQ; fever is late finding except when ruptured;
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What are the diagnostic and lab values impt for acute appendicitis?
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-Labs, CBC, UA, (WBC>10,000);
-Flat & upright of abdomen. Good for pt w/ acute pain b/c if its ruptured, you'll see free air under diaphragm. Fuzzy area around cecum & appendix indicating inflammation, but its not totally diagnostic. -Sono: new techniques help localize if its swollen. |
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In ovarian pathology like ovarian cyst or torsion of adnexa, what should be used in diagnosis?
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Sono is main dx help, CBC may show increased WBC, HCG negative.
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What is the difference b/w a threatened & inevitable abortion?
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-threatened:bleeding & abnormalities;
-inevitable: already have separation of placenta & blood clot. |
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Describe the pain experienced in ureteral colic. Pain is usually secondary to what?
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-Secondary to obstruction from stone or blood clot;
-Pain usually spastic comes & goes, not continuous and doesn't stay in 1 place. |
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What will the bladder feel like in acute UTI esp acute cystitis?
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bladder very tender, UA will often be diagnostic w/ inc WBCs
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If patient presents w/ positive pregnancy test & on US they have an intrauterine pregnancy, what cause cause them to have blood in the pelvis? What is the prognosis of that pregnancy?
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Ruptured corpus luteum cyst; early in pregnancy, will almost always herald complete or incomplete abortion b/c corpus luteum is providing progesterol until 8-9 weeks;
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In a post-menopausal female, what are the most common causes of acute pelvic pain?
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GI & Urinary tract (must rule out adnexal pathology & degenerating myoma)
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