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145 Cards in this Set

  • Front
  • Back
Web neck
Streak Gonads
Primary Amenorrhea
Turner Sx
Testicular Atrophy
Azoospermia
Gynecomastia
Klinefelter's Sx
Mental Retardation
Endocardial Cushion Defects
Short Stature
Down Sx
Transmission both genders
All generations affected
No carrier states
Autosomal Dominant
No male-male transmission
Disease expressed only in Males
Female Carriers
X-linked recessive
Transmission both genders
Skips Generations
Male+female carriers
Autosomal Recessive
No male-male transmission
Disease expressed only males
Female Carriers
X-linked recessive
Lack of preconception folate?
Neural Tube Deffects (NTD)
Fetal H.R. accelerations
NST
Fetal Breathing Movements
BPP
Repetivite Late decelarations
CST
Within hours of birth
Pnemonia
Sepsis
GBBS sepsis

Group B Beta Strep
Chorioretinitis
Intracranial Calcifications
Symmetric IUGR (intrauterine growth retardation)
Congenital Toxoplasmosis
Zig-zag skin lesions
Micropthlamia
Extremity hypoplasia
Congenital Varicella
Congenital Deafness
Cong. Heart Disease
Cataracts
Congenital Rubella
Neonatal "Blueberry muffin rash"
Cong. Rubella
Neonatal petechiae
Congenital CMV
Painful late trim. bleed
Normal Placenta Implant
DIC
Abruptio Placenta
Painles late trim. bleed
Lower uterine seg. plac. implantation
Plancenta Previa
Membrane rupture
Painless Vag bleed
Fetal Bradycardia
Vasa Previa
1st trim. bleeding
Sono: normal preg
Internal cerv. os: closed
Threatened abortion
1st trim. NO bleeding
Sono: nonivable preg.
Internal cerv. os: closed
Missed Abortion
1st trim. bleeding
No POC passed
Internal cerv. os: dilated
Inevitable Abortion
1st trim. bleeding
Sono: some POC still in uterus
Internal cerv. os: dilated
Incomplete abortion
1st trim. bleeding
Sono: no IU debris
Internal Cerv. os: dilated
Complete Abortion
Twin Pregnancy
2 different genders
Dizygotics twins
Twin Pregnancy
Genders unknow or same
2 placentas seen
Dichorionic twins
Twin Pregnancy
Genders unknow or same
1 placenta but 2 sacs
Monochorionic, diamnionic twins
Twin Pregnancy
Genders unknow or same
1 placenta and 1 sac
Monochorionic, monoamnionic twins
Speculum Exam shows fluid pooling
Fluid is nitrazine +
Fluid shows ferning on drying on glass side
Ruptured membranes
Membranes ruptured
Maternal Fever
No URI or UTI
Chorioamnionitis
Between 20-36wks
> contractions in 30 min.
Cervix dilated > 2cm or change over time
Preterm Labor
Tocolysis
Respiratory Depression
Muscle Weakness
Magnesium Toxicity
Tocolysis
Hypokalemia
Hyperglycemia
Beta agonist side-effects
Tocolysis
increase pulse
decrease BP
Myocardial depression
Calcium ch. blocker S/E
Tocolysis
Oligohydrmanios
IU closure of PDA
Indomethacin S/E
Pregnancy >20 wks
Non-sustained HTN
NO proteinuria
Transient HTN
Pregnancy >20 wks
Sustained HTN >140/90
Prot. >300mg/24 hr urine
Mild Pre-eclampsia
Pregnancy >20 wks
Sustained HTN >160/110
Prot. >5g/24 hr urine
Severe Pre-eclampsia
Pregnancy >20wks
Sustained HTN >140/90
Any 1 more of following:
HD, visual changes, epigastric pain
Severe pre-eclampsia
Secondary Amenorrhea
Positive Progesterone Challenge Test
Anovulation
Secondary Amenorrhea
Progesterone Challenge Test (neg.-)
Low Estrogen or outflow tract obstruction
Secondary Amenorrhea
Estrogen-Progesterone Challenge Test (pos+)
Low Estrogen
Secondary Amenorrhea
Estrogen-Progesterone Challenge Test (neg-)
Outflow Tract Obstruction
Virilization w/ abdominal mass
Sudden Onset
↑↑ DHEAS
Adrenal Tumor
Virilization w/ pelvic mass
Sudden Onset
↑↑ Testosterone
Ovarian Tumor
Hirsutism
Gradual Onset
Normal DHEAS, Testosterone, 17-OH progesterone
↑ 17-OH Progesterone
21-OH deficiency
CAH
Hirsutism, infertility
Gradual Onset
↑ Testosterone
PCO Syndrome
Hirsutism
Gradual Onset
Normal DHEAS, Testosterone, 17-OH progesterone
Idiopathicv
Primary Infertility
Progesterone Challenge Test (pos+)
Thin-Watery Cervical Mucus
Anovulation
Primary Infertility
Semen Analysis: Sperm Density 5 million/ml
Regular, Predictable menstrual cycles
Male Factor
Hot Flushes & Sweating
Age 25 years
Serially ↑ FSH levels
Ovarian Failure, r/o
Y chromosome mosaicism
Pregnancy > 20 weeks
Sustained HTN > 140/90
Any 1 or more of following: DIC, Increase liver enzymes, pul edema, oliguria
Severe preeclampsia
2 Pregnancy > 20 weeks
Sustained HTN > 140/90
Unexplained convulsions
Eclampsia
Pregnancy < 20 weeks
Sustained HTN > 140/90
Proteinura Variable
Chronic Hypertension
Chronic HTN
Bp Rising
Proteinura worsening
Chronic HTN with superimposed preeclampsia
Pregnancy >20 weeks
Liver enzymes increased
Hemolysis and low platelets
HELLP syn
Pulmonary HTN
Bidirectional intracardiac shunt
Eisenmenger’s syn
Autosomal dominant disorder
Connective tissue disorder
Aortic root dilated>40mm
Marfans Syn
Term Pregnancy
Biventricular cardiac failure
Multiparity
Peripartum Cadiomyopathy
Decrease TSH , Increased T4, Increased LATS
Graves disease
Increased TSH, Decrease T4, Anovulation
Hypothyroidism
>20 wks gestation
1hr 50g OGTT > 140
3hr 100g OGTT has 2 abnormal values
Gestational dm
Prepregnancy Dm
Increase insulin levels
Type 2 dm
Prepregnancy dm
Decreased insulin
Type 1 dm
Hgb < 10 g/dl
Mcv<80
Rdw>15
Iron def anemia
Hgb < 10 g/dl
Mcv>100
Rdw>15
Folate def anemia
Hgb<10
Hemoglobin S>40
Sickle cell anemia
No sym
+urine culture
No fever
Asymptomatic bacteriuria
Urgency frequency
+urine culture
No fever
Acute cystitis
Term pregnancy in labor
2cm cervical dilation
No dilation change for 16hrs
Prolonged latent phase
Term pregnancy in labor
8cm cervical dilation
Cervical dilation of 2cm over past 4 hours
Prolonged active phase
Term pregnancy in labor
8cm cervical dilation
No cervical dilation over past 4 hours
Arrested active phase or arrest of dilation
Term pregnancy in labor
Completely dilated at +1 station
No change in station after pushing for 3 hours
Arrested 2nd stage or arrest of descent
Term pregnancy in labor
Amniotomy with fetal head unengaged
Sudden onset repetitive sever variable decelerations
Prolapsed umbilical cord
Second stage of labor
Fetal head is delivered
Body will not deliver
Shoulder dystocia
FHR monitoring
Abrupt increase and decrease in FHR above baseline
Onset and ending is unrelated to contractions
FHR accelerations
FHR monitoring
gradual increase and decrease in FHR below baseline
Onset and ending is synchronous in related to contractions
Early deceleration
FHR monitoring
Abrupt increase and decrease in FHR below baseline lasting 15- 90 sec
Onset and ending is unrelated to contractions
Variable decelerations
FHR monitoring
Gradual increase and decrease in FHR below baseline
Onset and ending is delayed in relation to contraction
Early decelerations
Pregnancy 18-22 weeks
Painless cervical dilation
Delivery of previable living fetus
Incompetent cervix
Term pregnancy in labor
Local anesthetic injected into cervix for pain relief
Sudden onset of fetal bardycardia
Paracervical block
Term pregnancy in labor
Conduction anesthesia Is administered
One half of the body feels pain and the other doesn’t
Epidural block
Postmenopausal bilateral pelvic masses
Postmenopausal bleeding
Enlarged Uterus
Metastatic Ovarian Tumors from Endometrium
Postmenopausal Pelvic Masses
Weight Gain Without Eating
Abdominal Ascites
Metastatic Ovarian Carcinoma
Pregnancy at 1 Weeks by Dates
Hypertension and Proteinuria
No Fetal Heart Tones Can Be Heard
Molar Pregnancy
Pregnancy at 16 Weeks by Dates
Vaginal Bleeding
Passage of Vesicles Per Vagina
Molar Pregnancy
Postmenopausal Woman
Anterior Vaginal Wall Bulging
Urinary Incontinence
Cystocele
Postmenopausal Woman
Posterior Vaginal Wall Bulging
Digital Finger Necessary To Remove Stool
Rectocele
Urinary Incontinence
Urine Loss Only With Coughing & Sneezing
No Urine Lost at Night
Genuine Stress Incontinence
Urinary Incontinence
Cannot Suppress the Urge to Void
Urine Lost Day & Night
Hypertonic Urge Incontinence
Urinary Incontinence
Detrusor Muscle Never Contracts
Urine Lost Day & Night
Hypotonic Overflow Incontinence
Urinary Incontinence
History of Radical Pelvic Surgery or XRT
Urine Lost Day & Night
Fistula or Bypass Incontinence
Pelvic Pain
Painful Intercourse
Painful Bowel Movements
Endometriosis
Fixed, Retroverted Uterus
Uterosacral Ligament Nodularity
Endometriosis
Amenorrhea
Unilateral Pelvic-Abdominal Pain
Vaginal Bleeding
Ectopic Pregnancy
Bilateral Lower-Abdominal Pelvic Pain
Mucopurulent Cervical Discharge
Cervical Motion Tenderness
Acute PID
Bilateral Lower-Abdominal-Pelvic Pain
No Cervical Discharge
Cervical Motion Tenderness
Chronic PID
Vaginal Discharge
Fishy Odor
“Clue Cells”
Bacterial Vaginosis
Vaginal Discharge
Itching & Burning
“Strawberry Cervix”
Trichomonas Vaginitis
Vaginal Discharge
Itching & Burning
Pseudohyphae
Yeast Vaginitis
Prepubertal Vaginal Bleeding
Foreign Body
Precocious Complete Isosexual Puberty
6 year-old girl
Abnormal Head MRI scan
Idiopathic Constitutional
Precocious Complete Isosexual Puberty
4 year-old Girl
Adnormal Head MRI Scan
CNS Pathology
Precocious Complete Isosexual Puberty
6 year-old Girl
Café au Lait Skin Lesion
McCune-Albright Syndrome
Precosious Complete Isosexual Puberty
6 year-old Girl
Pelvic Mass
Granulosa Cell Tumor
Irregular, Unpredictable Menstrual Bleeding
13 year-old Girl
Normal Height & Weight
Temporary Anovulatory Bleeding
Irregular, Unpredictable Menstrual Bleeding
33 year-old Woman
Obese & Hypertensive
Chronic Anovulation Bleeding (PCO)
Normal Predictable Menstrual Bleeding With Bleeding In-Between
33 year-old Woman
Normal Height & Weight
Intrauterine Polyp or Submucus Myoma
Primary Amenorrhea
Breasts & Uterus Present
Normal Height & Weight
Imperforate Hymen
Primary Amenorrhea
Breasts Present, Uterus Absent
Normal Pubic & Axillary Hair
Mullerian Agenesis
Primary Amenorrhea
Breasts Present & Uterus Absent
No Pubic or Axillary Hair
Complete Androgen Insensitivity
Primary Amenorrhea
Breasts Absent, Uterus Present,
Increased FSH
Gonadal Dysgenesis
Primary Amenorrhea
Breasts Absent, Uterus Present
Decreased FSH
Hypothalamic-Pituitary Insufficiency
Primary Amenorrhea
Breasts Absent, Uterus Present
Anosmia
Kallman Syndrome
Secondary Amenorrhea
Pregnancy
Conduction anesthesia is administered
Patient stops breathing and becomes cyanotic
Term pregnancy in labor
Intrathecal injection of local anesthetic
Postpartum day #1
After SVD of 31 week preterm neonate in NICU
Mother shows no interest in the baby and hasn’t named her
Impaired maternal-infant bonding
Postpartum day #2
After SVD of term normal neonate
Mood swings, tearfulness, cares for baby
Postpartum blues
Postpartum day #21
After SVD of term normal neonate
Feelings of despair, hopelessness, not caring for baby or self
Postpartum depression
Postpartum day #21
After SVD of term normal neonate
Bizarre behaviour, hallucinations
Postpartum Psychosis
Postpartum bright red vaginal bleeding
Just delivered twins
Uterus feels like dough
Uterine atony
Postpartum bright red vaginal bleeding
Uncontrolled vaginal delivery
Uterus feels firm
Perineal lacerations
Postpartum bright red vaginal bleeding
Plancental vessels extend over edge of membranes
Uterus feels firm
Retained placenta from accessory lobe
Postpartum vaginal bleeding
Abruptio placenta
Blood oozing from IV site
DIC
Postpartum bright red vaginal bleeding
Beefy bleeding vaginal mass
Uterus not palpable
Uterine inversion
T 101 F on post partum day #0
S/P caesarean under general anesthesia
Mild rales on lung auscultation
Atelectasis
T 101 F on post partum day # 1
S/P multiple intrapartum catheteterizations
Costovertebral angle tenderness
Urinary tract infection
T 101 F on post partum day #3
S/P emergency caesarean section
Exquisite uterine tenderness
Endometritis
T 101 F on post partum day #3
S/P spontaneous vaginal delivery
Breasts bilaterally swollen, red & tender
Congestive mastitis or engorgement
T 101 F on post partum day #4
S/P emergency caesarean section
Purulent abdominal wound drainage
Wound infection
T 101 F on post partum day #5
Spiking fevers in spite of triple antibiotics
Normal pelvic exam
Septic thrombophlebitis
T 101 F on post partum day #14
S/P spontaneous vaginal delivery
One lobe of left breast is swollen, red & tender
Infectious mastitis
Postmenopausal vaginal bleeding
Obese
Hypertensive
Endometrial cancer
Enlarged nontender asymmetrical firm uterus
Leiomyoma
Enlarged tender, symmetrical, soft uterus
Adenomyosis
Reproductive years pelvic mass
Pregnancy
Reproductive years pelvic mass
Negative b-hCG
Sono: round, smooth-walled, fluid filled adnexal mass
Functional ovarian cyst (follicular, corpus luteum cyst)
Reproductive years pelvic mass
Negative b-hCG
Sono: complex adnexal mass with calcifications
Benign cystic teratoma
Sudden onset unilateral abdominal-pelvic pain
Negative b-hCG
Sono: adnexal mass measuring 12cm diameter
Ovarian torsion
Reproductive years solid pelvic mass
Negative b-hCG
Elevated levels of LDH
Dysgerminoma
Postmenopausal adnexal mass
Positive BRCA-1
Ovarian carcinoma
Postmenopausal adnexal mass
Nulliparous
Elevated levels of CA-125
Ovarian serous carcinoma (epithelial)
Postmenopausal adnexal mass
Elevated levels of hCG
Ovarian chorio-carcinoma (germ cell)
Postmenopausal adnexal mass
↑ facial hair, clitorimegaly
Elevated levels of testosterone
Ovarian Sertoli-Leydig cell tumor (gonadal-stromal)