Dec 8 Flashcards
what do sertoli-leydig tumours produce?
testosterone
Clinical features of a sertoli-leydig tumour?
- voice deepening
- male-pattern balding
- increased muscle mass
- clitoromegaly
- oligomenorhea
- unilateral, solid adnexal mass
Causes of hydrops fetalis?
Rh(D) alloimmunization Parvovirus Fetal aneuploidy Cardiovascular abnormalities Thalasemia
Complications of inadequate weight gain in pregnancy?
Low birth weight
Preterm delivery
Complications of excessive weight gain in pregnancy?
Gestational diabetes
Fetal macrosomnia
C section
Can a doppler show normal arterial and venous flow in ovarian torsion?
Yes
If ovarian torsion is suspected on ultrasound what is the next step in management?
Diagnostic laparoscopy
Can a neonate have thyrotoxicosis even in a mother already treated for graves disease?
Yes - the TSH-receptor antibodies can still exist
Treatment of neonatal thyrotoxicosis?
Usually self resolves in weeks-months
Treat with methimazole PLUS beta-blocker as the hyperthyroidism can have adverse affects on the neonates developing nervous system
Is a vulvar hematoma tender?
Usually yes
Are bartholin duct cysts tender?
No - non tender
How to manage bartholin duct cysts?
If asymptomatic - usually resolve on own- observation and expectant management
If symptomatic - incise and drain
Risk factors for breech presentation?
Advanced maternal age Multiparity Uterine didelphys, septate uterus Uterine leiomyomas Fetal anomalies Preterm delivery Oligo/polyhydramnios Placenta previa
What kind of IUDs can be used in a women with active breast cancer?
Only the copper IUD - even progesterone only is contraindicated because it could get into the systemic circulation
Diagnosis of vulvar lichen sclerosis
Can be clinically diagnosed but vulvar punch biopsy is recommended to confirm and rule out cancer (which can occur in patients with prolonged lichen sclerosis)
