4/16 Flashcards
21 hyroxylase deficiency electrolytes
hyponatremia and hyperkalemia
what additional screening test should babies born before 32 weeks get at 1-2 weeks of life
cranial ultrasound to check for intraventricular hemorrhage
Amphetamine use during pregnancy is associated with
preterm delivery preeclampsia abrupt placentae fetal growth restriction fetal demise
what conditions qualify for high risk pre e
prior pre e cod chronic htn dm multiple gestation autoimmune dz
non session herpes symptoms
dysuria
inguinal lymphadenopathy
pages rash
eczematous rash
pages cancer
adenocarcinoma
interstitial cystitis urinalysis findings
normal
indications for prophylactic abc recurrent cystitis
2+ in 6months
3+ in a year
what is hidradenitis suppurative
chronic inflammation in inguinal region, caused by occluded follicles that cause painful nodules and abscess that develop into sinus tracts and result in scaring
what diabetes med(s)to add to metromin in dm2 wi cvd
- GLP1 agonists like eventide. they slow gastric emptying
SGLT2i like canagliflozin
what increases thyroid binding globulin
oral estrogen and opioids, lowers free t3.
what can cause low TSH, High t4 and normal radio iodine
increased thyroglobulin iodine exposure
exogenous use
how to dx babesiosis
blood smear-maltose cross
babesiosis clinical manifestation
fever fatigue myalgia HA ARDS CHF DIC splenic rupture Anemia Thrombocytopenia increased liver labs
babesiosis tx
atovaquone and azithromycin
organic with sulfur granules
Actinomyces, tx penicillin
what organism are filamentous gram positive rods with rudimentary branching
nocardia and actinomyces
cmv findings
GI,pulm,pancytopenia, hepatitis
Eikenella corrodes risk factor
poor dentition
tx lyme in pregnancy
amoxicillin
difference between case control and retrospective cohort
case controls determine outcome first and then look at associated risk factors.
Retro cohorts ascertain risk factor exposure and then determine outcome
when can you assume rr and or are basically the same
if the disease is rare
Hawthorne effect
changing behavior bd subjects know they are being studied
How does ppv and npv change with increased prevalence
more ppv less npv
how many weeks is quad screen at
16-18
when should 1hr glucose tolerance be done
20-24 weeks
Quad screen trisomy 21
AFP ⬇️
uE3 ⬇️
hCG⬆️
Inhibin A⬆️
Quad screen trisomy 18
AFP ⬇️
uE3 ⬇️
hCG ⬇️
Inhibin A ⬇️
what is cutoff value for 1hr glucose test
135
pre e sever features
sbp over 160 dbp over 110 platlets less than 100,000 creatinine of 1.1 increased transaminases pulmonary edema visual or other neuroscience sx
can you use warfarin when prego? when breast feeding?
no prego, yes breast feeding
cocaine fetal risk
abrupto placentae
ethanol
Fetal alcohol syndrome
(retardation, IUGR, sensory and motor neuropathy, facial abnormalities
ACE-i fetal risk
renal probs, decreased skull ossification
Aminoglycosides fetal risk
CN 8 damage, skeletal abnormalities, renal probs
fetal risk Carbamazapime
facial abnormalities,IUGR, retardation, cv probs, neural tube defects
fetal risk chemo
augur, retardation, all the anatomic abnormalities
fetal risk diazepam
cleft palate, renal probs, secondary neoplasm
fetal risk DES
adenocarcinoma of vagina or cervix
Fetal risk Fluroquinolones
cartilage abnormalities
Fetal risk Li
Epstein abnormality
Fetal risk phenobarbitals
facial abnormalities, augur, retardation,
Fetal risk phenytoin
kerinicterus
Fetal risk retinoids
CNS abnormalities, cv probs, facial abnormalities
Fetal risk sulfonamides
kerinicterus
Fetal risk tetracylines
skeletal abnormalities, limb deformaties, teeth discolored
Fetal risk thalidomide
limb deformities
Fetal risk valproic acid
neural tube defect, cv probs, facial abnormalities, skeletal abnormalities
Fetal risk warfarin
augur, cns probs, facial abnormalities, mental retardation, Dandy walker malformation
Neonatal syphilis sx
anemia deaf hepatosplenomegaly PNA hepatitis osteodystrophy rash followed by hand and foot desquamination
symmetrical causes iugr
congenital infection, chromosomal abnormalities
asymmetrical causes iugr
poor maternal health
PROM less than 32 weeks meds
steroids, mg, abx
main risk factors pre-term labor
multiple gestations, PROM, smoking
risk factors for placenta previa -remember this is painless
prior previa, prior c section, prior uterine surgery
components of APGAR
color HR tone respirations response to stimuli
when is methylergonovine contraindicated post partum hemorrhage
HTN
when is carbost contraindicated post partum hemorrhage
Asthma
