folic acid Flashcards
how much folic acid and how long take for
400mcg
5mg - increased dose in those at risk
till whole of the first trimester
what occurs in the last 4 weeks of pregnancy with irregular contractions every 20 mins with absent cervical changes
false labour
How much should the fundal height increase by after 24 weeks
should be 1 cm
PID symptoms
pelvic pain -dysparenuria, vagina dischatege, dysuria menstrual irregulaarities Cervical excitation too
etopi preganancy symptoms
6-8 weeks amenhorrea with lower abdo pain
shoulder tip pain
cervical excitation
Crampy lower abdo with period of amenhorrea and vaginal bleeding -diagnosis
?
miscarriage
how will ovarian cyst pain present
unilateral intermitted or only pain during intercourse
torsion or rupture may lead to severe abdo pain
large cysts may cause abdo swellings or pressure on abdo
free peritoneal fluid seen on USS with whirlpool sign indicates
ovarian torsion
contraindication to the copper coil
PID - as already using the coil increases risk of PID
antimuscarinic in females with urge incontinence
tolteridine - in females with urge incontience
The two physiological cysts
follicular and corpus leuteum
the commonest cyst due to the non dominant follicule not rupturing and failure of atresia of the non dominant follicle
Folicular cycsts
What happens to follicular cysts?
commonly they regress after severeal menstrual cycles
What us a corpus luteal cyst
the corpus leuteum should regress in the menstrual cycle and disappear- if this doesnt happen the corpus luteum becomes filled with blood or fluid to form a cyst
Which cyst is most likely to present as a intraperitoneal bleed?
corpus leuteum because remember they dont regree and become filled with blood
