6/16/13 Flashcards
What is the best initial test for suspected renal artery stenosis?
Duplex Doppler US
What is the mgmt of (term) PROM?
induction of labor
What is the Tx of PPROM complicated by chorioamninitis?
Abx and induction of labor
What Abx are appropriate for chorioamnionitis?
genta/clinda
What are 3 signs of chorioamnionitis in a pt who has confirmed PROM and no URI/UTI?
uterine tenderness, maternal fever, fetal tachycardia
What is the mgmt of uncomplicated PPROM?
depends on gestational age
What is the mgmt of PPROM at <24 wks?
induce labor or send home for bed rest
What is the mgmt of PPROM at 24-35 wks (4 things)_?
- admit
- betamethasone
- cervical cultures
- ampicillin+erythro for 1 wk
What is the mgmt of PPROM if there is non-reassuring fetal feart monitoring?
deliver
What is the Tx of PPROM basically if there are any complications?
delivery
Auto accident in which the knees hit the dashboard runs the risk of what hip injury?
posterior dislocation
Which 2 ARBs are assoc’ed w/ the highest incidence of angioedema?
losartan and valsartan
What 2 Ag’s characterize ALL?
CALLA and TdT
What is used for the prophylaxis of “meningeal leukemia” in ALL relapse?
intrathecal MTX
What is th BEST Dx test for ALL?
BM aspirate
Name at least 2 things that make acute fatty liver of pregnancy different from HELLP.
- hypoglycemia
- hyperbilirubinemia
- abnormal coagulation studies
What is the Tx for acute fatty liver of preg?
delivery (after maternal stabilization)
What is the most specific finding for RV infarction?
ST-elevation in right-sided V4 (V4R)
Why should nitrates and diuretics be avoided in RV MI?
they reduce preload!
