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14 Cards in this Set
- Front
- Back
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Tamoxifen vs. Raloxifene |
- tamoxifen = antagonist at breast, agonist at endometrial and bone
- raloxifene = antagonist at breast and vaginal tissue, agonist at bone - both have increased risk of clotting, tamoxifen has increased risk of endometrial cancer and uterine sarcoma |
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Erb's Palsy |
- MC injury with shoulder dystocia - traction on CN 5,6 and sometimes 7 - adduction and internal rotation, pronated forearm, wrist and finger flexed - 80% show no long term damage |
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HELLP Syndrome |
- microangiopathic hemolytic anemia with schistocytes - elevated liver enzymes - low platelets - RUQ pain, nausea, vomitting = centrilobular necrosis, thrombi in portal system |
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Acute Fatty Liver of Pregnancy (AFLP) |
- nausea, vomitting, abdominal pain, RUQ pain - elevated liver enzymes in 3rd trimester - leukocytosis, hypoglycemia, acute kidney injury - less likely to have HTN than HELLP |
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BV vs. Trich vs. Candida |
- BV: fishy, thin discharge, no inflammation, clue cells, amine odor with KOH, pH> 4.5 -> metronidazole or clinda - Trich: thin yellow-green, frothy discharge, inflamed vagina, pH > 4.5 with motile on wet mount -> metronidazole treat partner too - Candida: thick discharge with vaginal inflammation, normal pH, pseudohyphae -> fluconazole |
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Spontaneous Abortion vs. Intrauterine Fetal Demise |
SAB = < 20 wk IUFD = > 20 wk |
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Target blood Glucose in GDM |
- fasting < 95, 2 hr postprandial < 120 - all pregnant women should be screened btw 24-28 wks - insulin doesn't cross the placenta |
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Maternal Hyperglycemia |
- increased risk of congenital heart disease, NTD, spontaneous abortion - hyperglycemia -> macrosomia -> organomegaly and increased O2 demand and polycythemia - shoulder dystocia an fetal hypoglycemia are birth complications |
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Milk production |
- sudden loss of E2 and progesterone = increased prolactin - prolactin = milk production, oxytocin = milk let down |
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condyloma acuminatum vs latum |
- HPV = condyloma acuminatum, cleared with chloroacetic acid - syphillis = condyloma latum, in secondary syphilis -> flat, velvety lesions |
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Contraindications to Breastfeeding |
- active untreated TB, may breastfeed 2 wk after tx - maternal HIV - herpetic breast lesions - varicella - chemotherapy - substance abuse - infant galactosemia |
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Chorioamnionitis or intramniotic infection |
- prolonged rupture of membranes, > 18 hr btw ROM and birth - maternal fever, uterine tenderness, maternal or fetal tachycardia, - Tx: expedited deliver, maternal culture, broad spectrum abx (amp, gent, clinda) |
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Lichen Sclerosis |
- autoimmune etiology - pruritus, dyspareunia, dysuria, white atrophic paper-like skin, obliteration of labia minora, decreased size of introitus - increased risk for vulvar squamous cell carcinoma -> punch biopsy - topical corticosteroids |
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Lichen planus |
- purple plaques or papules, wickhams striae, - |
