Deck 2 Flashcards
what is the bp like in aortic dissection
it is initially elevated due to pain and if it ruptures then you have hypotension
sx of a granulosa cell tumor
juvenieles: precocious puberty // adults: postmenopausal bleeding, AUB, breast tenderness
what is considered polyuria (in terms of output)
> 3L output over 24hrs
other hormone abnormalities for a patient with hypothyroid
hyperprolactinemia
TRH affect on prolactin levels
elevates prolactin so you get hyperprolactinemia with hypothyroidism
what is considered oligohydramnios
<2cm in deepest pocket
treatment for bacterial vaginosis
clinda or metronidazole
illness course of HSV
likely resolution of warts
quad screen levels in down syndrome
estrodiol: low // inhibin A: increased // HCG: high // AFP: low
if a patient still has increasing levels of HCG after d and c what is dx
ectopic pregnancy
what drug can you give for ectopic preg
methotrexate
friable plaque on the vulva dx
vulvar squamous cell CA
FSH/estrogen levels in ashermans
normal
FSH in primary ovarian insufficiency
high
what is considered hypertension for preeclampsia
> 140 or>90 systolic
estrogen levels in breastfeeding patients
low bc prolactin inhibits gnrh release
when to give progesterone for pregnancy
prior episode of preterm labor or or short cervix (<2.5cm)
who should get baby aspirin prophylaxis
prior preeclampsia, CKD, chronic HTN, multiple gestation, DM, autoimmune diseases
next step in dx ovarian ca after imaging
ex lap
management of a GDM patient on insulin testing
post prandial blood glucoses and also regular NSTs
if a breast cyst is still painful after FNA what do you do
core needle biopsy
criteria of cervical insufficiency
> 2 precipitous painless 2nd trimester losses, cervical length less than 2.5
what causes FHR sinusoidal pattern
severe fetal anemia (blood loss)
signs of antiphospholipid syndrome
> 3 first trimester spontaneous abortions, >1 still birth, hx of DVT or PE, etc.
complications of antiphospholipid syndrome
miscarirages, uteroplacental insufficiency from thrombi
do you need renal imaging to dx pyelo
no
treatment/management of pyelo in prenant people
inpatient IV antibiotics
what type of incontinence do you get from estrogen deficiency
urgency from uretogenital atrophy
US findings of mature teratoma
partially calcified, with multiple thin echogenic bands
next step in eval of a recent vaginal delivery with fecal incontinence
endoanal ultrasoundography
signs of spinal epidural abscess
malaise, focal pain (lower back pain), neurological findings
what else would you expect to see on U/S for a fetus with duodenal atresia
VACTERL/Down syndrome things like VSD, ASD, esophageal atresia, etc.
management of a retained foreign body in vagina
apply topical anesthetic and irrigate
signs of retained foreign body in vagina
mucopurulent discharge, irritation, etc.
signs of acute fatty liver of pregnancy
nausea/vom, RUQ pain/epigastric pain, liver failure
lab findings of acute fatty liver of pregnancy
profound hypoglycemia, increased AST/ALT, increased bilirubin, thrombocytopenia, DIC
signs of vasa previa
painless vaginal bleeding with ROM or contractions, FHR abnormalities, fetal demise
what do nuchal cords cause on FHR monitoring
variable d-cels
signs of uteroplacental insufficiency
late decels, oligohydramnios, etc.
trt of mag toxicity
calcium gluconate
trtment of a patient with endometrial hyperplasia
they need an IUD or something to prevent endometrial hyperplasia
what do sertoli leydig cells secrete
testosterone
if a patient that is pregnant has LRQ pain what is it
appendicitis
treatment options for overactive bladder
aka urgency incontinence, oxybutinin (M3 blocker), or megabegron (B3 agonist)
blood types of parents with newborns who have ABO hemolytic disease
when mom is O and dad is AB
signs of ABO hemolytic disease in newborns
jaundice, hyperbilirubinemia,
when do you do suction curretage for miscarriage
when the patient is hypotensive/tachy and showing signs of anemia
description of inflammatory breast cancer
thickened skin dimpling, orange peel like skin
what is a likely thin walled cyst
normal physiologic cyst
when should you use operative delivery
when the patient is >3 hrs pushing in a prime or >2 hours in a multip
why is there decreased fetal movement with uteroplacental deficiency
blood is diverted from the extremities to the internal organs
what is adequate weight gain in pregnancy
22-35lbs (normal bmi) , 25-30lbs (overweight), obese, ~10lbs
complications of preeclampsia in the fetus
SGA, low birth weight because of chronic placental insufifciency
