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12 Cards in this Set
- Front
- Back
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Reproduction System- OBGYN infections, Clinical Implications by Lao
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Reproduction System- OBGYN infections, Clinical Implications by Lao
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Understand the gynecologic vs. obstetrical implications of common infections
Understand the common effects of these infections on the fetus and newborn |
Understand the gynecologic vs. obstetrical implications of common infections
Understand the common effects of these infections on the fetus and newborn |
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Bacterial Vaginosis (BV)...most common bacteria? OB and GYN
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normal bacteria that grows in the vagina. usually multi bacterial. gardnerella is the most common. both aerobic and anaerobic..
common presentation is fishy smelling discharge. OB: associated with pre term labor (PTL) chorioamnionitis-> from premature rupture of the membranes. GYN: common reason for vaginitis cuff cellulitis post hysterectomy, should be treated pre-operatively |
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Herpes Simplex. how many of yall carry herpes in one form or another? what's common in college?
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vulva and vagina
1 in 5 Americans have HSV Not always clinically evident or symptomatic to patients In college students HSV 1 is most common type present in genital herpes Can also cause pneumonia Encephalopathy - in elderly and neonates. |
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HSV in Obstetrics**
what happens if you have an active infection? |
Active infection is an indication for primary cesarean delivery.
Suppression therapy started at 36 weeks gestation TORCH infection Commonly requires hospitalization for urinary retention or analgesia |
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Congenital Herpes
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Disseminated rash
Keratoconjunctivitis >>> cataracts >>> blindness Pneumonitis Encephalopathy DEATH |
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Syphilis. how much does it hurt?
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PAINLESS ULCERS (herpes there's pain)
Recently making a comeback Perinatal death Premature delivery Low birth weight Congenital anomalies Active congenital syphilis in the neonate Interstitial keratitis from congenital syphilis |
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Congenital Hydrarthrosis aka...
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CONGENITAL HYDRARTHROSIS (CLUTTON’S JOINTS)
swelling |
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Chlamydia is the ____ common STD... increased risk for....
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white-yellow discharge coating the cervical os/ mucopurulent cervicitis
Sometimes “silent” Associated with Pelvic Inflammatory Disease (PID) and subsequent infertility if left untreated (40%) Most common bacterial STD Can cause chronic pelvic pain Increased risk for ectopic pregnancy |
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Chylamydia trachomatis and obstetrics
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OBSTETRICS:
? Spontaneous abortion Premature rupture of the membranes Preterm delivery No conclusive danger to fetus Neonatal conjunctivitis and pneumonitis |
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Fitz Hugh Curtis Syndrome is pathognomonic for...
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pelvic inflammatory disease.
inflammation near the liver (perihepatic lesions); transport mechanism |
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Gential warts and HPV. Agressive in which type of patients? and in OB?
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Aggressive in HIV patients
Can make hysterectomy difficult OB: Only a problem if large enough to obstruct the birth canal Risk of transmitting laryngeal HPV to neonate (No risk…1/3 transmission) |
