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15 Cards in this Set
- Front
- Back
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TRH also acts as what other hormone?
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Prolactin releasing hormone
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Describe the chain of effects from hypothyroidism to its effect on menstruation and milk.
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hypothyroid --> inc TRH --> inc PRL --> dec GnRH pulse --> oligomenorrhea
hypothyroid --> inc PRL --> galactorrhea |
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Preggo has hypothyroid and has markedly increased PRL, some visual/neuro issues. Next step?
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MRI of brain/pituitary to r/o microadenoma
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preggo with primary hypothyroidism. Tx?
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thyroxine
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Female with hypothyroid, wants to be fertile. Tx?
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bromocriptine
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Preggo at 30 weeks has increasing itching on extremities and mild itching of the trunk. No lesions are seen. Next step?
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check bile salts and LFT's (likely to be cholestasis of pregnancy)
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Tx cholestasis of pregnancy?
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Antihistamines, cornstarch baths, bile salt binder
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preggo has itchy red papules and hives that started in the abdomen and spread to buttocks. They respond well to topical corticosteroids and antihistamines. She is concerned that the baby may get congenital problems from her condition. What do you say?
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No, you dumb biotch, you have Pruritic Urticarial Papules and Plaques of Pregnancy (PUPPP) and your parasite will be fine.
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A young-ish slut comes in b!tching about abdominal pain. After checking her preggo test (which was negative), you find she also has cervical motion tenderness and adnexal tenderness on the left side. What's the next step?
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IM ceftriaxone and PO doxycycline for PID
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The slut from the previous question doesn't follow your instructions and she comes back a couple weeks later with more pain. Imaging shows tubo-ovarian abscess. What do you do now for this idiot?
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Clindamycin or flagyl
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Preggo in labor with history of HSV, but is currently showing no lesions. Next step?
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No tx needed. Continue current care
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Preggo in labor with history of HSV and has 3 vesicle/suspicious lesions on labia. Next step?
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Give acyclovir, then prepare for C section
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A middle aged slut comes in with anemia and heavy menstrual bleeding. Exam shows an irregular, midline, nontender mass in the abdomen that moves contiguously with the cervix. Patient does not want any further pregnancies. Next step?
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1. ultrasound to confirm uterine leiomyoma
2. NSAID or progestin for initial tx 3. schedule hysterectomy |
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Most common cause of death from eclampsia?
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intracerebral hemorrhage
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preggo with BP 150/100 over 6 hours and 300mg protein over 24 hours. She is at 36 weeks. Next step?
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hydralazine or labetalol
No delivery yet, unless severe. Monitor for now |
