Add on Questions for 522 Flashcards
What is in an umbilical hernia
normally omentum or fat, rarely bowel
Which hernias are more common in women
Umbilical & femoral
What is the definition of an incarcerated hernia
it cannot be reudced
What is a strangulated hernia
Steady incrase in pain, N& V, tender to touch
How to you examin for a hernia
Staning up, valsalva and explore umbilicus, inguinal and femoral triangle
True of false congential hernias rarely strangle
True
What is an indirect hernia
Typically congenital, obvious with crying. Passes throug both the deep and superfical ring
What is a direct hernia
Generally aquired in adulthood. only passes through the deep inguinal ring (typically)
where is the femoral canal
next to the pubic symphasis
what are mestural migranes?
Pure M.Migrane = occur only during menses
Mensutral related = occur during mensies and ath other times
What causes menstural migranes?
Most common 3 days before and 3 days after menses onset
migranes with aura = Hight estrogen
Migranes without aura = estroen withdrawl
OFten more prolonged and disabiling
what does SNOOP stand for
S: systemic symptoms N: neurological symptoms O: onset sudden new >50 O; other conditions (immunodifficency) P: previous hx - different or progessive
how to you use ssris for PMS/PMDD
- Start in luteal phase or on the first day a woman typically has symptoms. Take until onset of menses
- take continuously
which COC has been proven most effective for PMS/PMDD
20 mcg EE/3 mg DRSP COC - Yaz
what should patients know about Yaz
Increases potassium, slight increase in DVT
