25/4/22 Flashcards
Describe how a patient may present with vaginal lichen sclerosus and planus?
What is the mainstay of treatment of both?
Sclerosus = itchy, skin tightness and PORCELAIN-WHITE patch appearance
Planus = itchy = papular rash = purpuric = 50% of patients also in the mouth
Potent topical steroids
Sclerosus - needs 3-6mthnly checkups
~ if extensive need oral steroids
What is the normal amount of weight loss in a newborn?
What should you do if this is it goes over that?
<10%
if >10% - refer to midwife breast-feeding clinic - if not breastfeeding ?
If woman presents with pyrexia during labour what should be given and why?
Benzylpenicillin for strep B prophlyaxis
When do you start treating iron deficent anaemia in:
- non-pregnant
- early pregnancy
- late pregnancy
- after childbirth
- 115
- 110
- 105
- 100
Why do lesbian women need to have cervical screening if they have never had sex with a man?
HPV is spread during genital contact and oral sex as well as penetrative
How do you manage a suspected TIA?
What is the prevention steps?
- 300mg aspirin + refer to specialist assessment within 24hrs
Prevent = clopridogrel 75mg
What are the classic triad for vasa praevia?
- rupture of membranes
- painless vaginal bleeding
- fetal bradycardia
When does external cephalic version take place if baby is breech?
36 weeks
After membrane sweep has been trialled for induction of labour what are the next steps?
- membrane sweep
- vaginal prostagladins
- amnitomy (artifical rupture of membranes) + synctonin
What is the BP aim in pre-eclampsia?
<135/85mmHg
What can trigger a migraine?
CHOCOLATE
Chocolate Hangovers Orgasms Cheese/caffiene Oral contraceptive Lie-ins Alcohol Travel Exercise
If smear is inadequate when do you repeat?
3 months
