13 Flashcards
why RUQ pain during HELLP?
centrilobular necrosis, hematoma formation, thrombi in portal cap system
–> liver swelling and distention
fetal hydantoin syndrome
from carbamazepine and phenytoin
microcephaly, dev. delay
cleft lip/palate
excess hair
mid facial and digit hypoplasia
renal changes in pregnancy
increased RBF, GFR, bm permeability
decreased serum BUN and Cr
increased renal protein excretion
raloxifine contraindication
DVT
treatment for chorioamniotis
broad spectrum antibiotics and deliver!
management for false contractions
reassure
why do PCOS women struggle with infertility
high levels of estrone from adipose down regulate LH and FSH and GnRH –> failure of follicle development
which one has normal fetal HR tracing of the previas
placenta previa
vasa previal abnl!
confirm lichen sclerosis with…
vulvar punch biopsy
first line therapy for lichen sclerosis
high potency topical steroids
whats next step for detecting high grade SIL?
colpo!
only do HPV co-testing if it’s low grade SIL or ASCUS
menopausal genitourinary syndrome aka atrophic vaginitis symptoms
dryness, irritation, pruritus vag bleeding dyspaurenia urinary incontinence, recurrent UTIs, urgency pelvic pressure
pubic symphysis diastasis
after traumatic vag delivery (macrosomia, forceps, twins)
suprapubic pain that radiates to back/hips
exacerbated by activity
waddling gait
supportive care, recover w/in month
adjustments for levothyroxine during pregnancy
increase dose during pregnancy
choriocarcinoma can follow
molar pregnancy
spontaneous abortion
normal gestation
low back pain during pregnancy
normal, conservative management
maternal complications of abruptio placenta
DIC
hypovolemic shock
when to stop pap smears
age 65 or hysterectomy + no hx of CIN II
+ 3 consecutive negative paps
or 2 consecutive negative co-testing
how does chemo affect repro system?
ovarian failure- affects proliferating cells of ovary
common causes of prolonged 1st stage of labor
- inadequate contractions (<3 in 10 min)
2. maternal obesity
common causes of prolonged 2nd stage of labor
- fetal malposition- non-occiput anterior
2. maternal obesity
how to detect renal stones in pregnancy
US
how to detect if baby is preterm at 16 weeks
transvaginal US to measure cervical length (short–>preterm)
when is measuring fetal fibronectin helpful to detect preterm?
mid-second and third trimester
because high until 20 weeks, and then dips down until labor
management for lactation suppression
supportive bra
avoid nipple stimulation
use ice packs and analgesics (NSAIDS)
