18 Flashcards
presentation vulvovaginal candidiasis
thrush:
- itching
- discharge (cottage cheese)
describe type 1 endometrial cancer
endometrioid adenocarcinoma
- commonest
- obese women
- younger
- hyperplasia
what happens in phenylketonuria
- babies unable to breakdown phenylalanine
- untreated babies develop serious, irreversible mental disability
surgical management of PPH
- B Lynch suture
- ligation of uterine/ iliac vessels
- hysterectomy
pathological prognostic features for endometrial cancer
- histological type
- histological grade
- stage
- lymphovascular space invasion
management cryptorchidism
orchiopexy
describe monochorionic/ mono amniotic twins
fertilised ova cleaves but the babies share an amniotic sac and chorium
cleavage >8 days
when can ulipristal pill be taken as emergency contraception
<120hours
maternal complications of eclampsia
- seizures
- cerebral haemorrhage
- stroke
- HELLP
- renal failrue
- pulmonary oedema
- cardiac failure
urinary incontinence management
- pelvic floor exercises
- reduce caffeine intake
- weight loss
- stop smoking
- increase fibre
- physio
- surgery
describe shoulder dystocia
after delivery of head, shoulders of fetes become stuck on maternal pubic symphysis
what happens in medium chain acyl-CoA dehydrogenase deficiency
babies cannot easily break down fat for energy
serious when baby not feeling/ feeding well
25% mortality
describe use of injectable progestogen as contraception
- deep IM every 13 weeks
- makes cervix hostile to sperm
- delay in return to fertility
- osteoporosis
- weight gain
describe medical abortion
- from 5-24 weeks
- miferpristone + misoprostol
- initiates uterine contraction 36-48 hours later opening cervix and expelling pregnancy
describe monochorionic/ diamniotic twins
1 chromium, individual amniotic sacs
cleavage 4-8 days
impact of thalidomide on babies
moderate –> severe malformation
- phocomelia
- dysmelia
- Amelia
- bone hypo plasticity
phocomelia
hands or feet are attached close to the trunk, the limbs being grossly underdeveloped or absent.
dysmelia
group of malformations in which there is hypoplasia, and partial or total aplasia of the tubular bones of the extremities, ranging from isolated peripheral hypoplasia to complete loss of the extremity.
amelia
absence of all four limbs
define 3rd degree vaginal tear
through to external anal sphincter
causes of herpes (HSV)
only skin contact needed
The tiny pocket in jeans was made for pocket watches.
madness
