Gyneco Flashcards

1
Q

Tx Chlamydia

A

Azythro ou Doxy

Amox pour femmes enceintes

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2
Q

Tx Gono

A

Cefixime ou ceftri
+Azithro pour chlam
Azithro double dose si allergie peni

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3
Q

Tx Syphilis

A

Peni G
Phase primaire 1 dose
q1sem x3 si latente ou tertiaire
IV 10-14j si neuro +

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4
Q

Tx Lymphogranulomatose vénérienne

A

(1) Doxy
(2) Erythro
(3) Azythro

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5
Q

TX PID

A

Ceftri + Doxi + metronidazole

Cefoxitime + Doxi si IV

Ou autres options

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6
Q

Terato acide valproique

A

Anomalies SNC

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7
Q

Terato AINS

A

Fermeture du canal artériel

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8
Q

Terato Anticholinergiques

A

Illeus méconial

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9
Q

Terato Barbituriques, opiacées, benzo

A

Retrait neonatal

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10
Q

Terato carbamazépine

A

Anomalies SNC

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11
Q

Terato cyclophosphamide

A

Malformations SNC

Cancer

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12
Q

Terato danazol

A

Masculinisation

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13
Q

Terato DES

A

Adénocarcinome vagin

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14
Q

Terato ECA

A

IR
Tr. Ossification crânienne
Dysgénésie tube neural
Anomalies cardiaques

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15
Q

Terato Lithium

A

Anomalie Epstein

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16
Q

Terato Misoprostol

A

Séquence de Moebius

17
Q

Terato Phénytoïn

A

Anomalies SNC

RCIU

18
Q

Terato PTU et méthimazole

A

Goitre néonatal, hypothyroidie

Aplasia cutis

19
Q

Terato Rétinoides

A

Malformations cranio-faciales, c-v et SNC

20
Q

Terato ROH

A

Syndrome alcoolo-foetal

21
Q

Terato Tétracyclines

A

Anomalies dents, os

22
Q

Terato Thalidomide

A

Malformation, membres et organes internes

23
Q

Terato Warfaine

A

Anomalies squelette, SNC

Syndrome de Dandy Walker

24
Q

Rx inhibant le folate

A
Anticonvulsivants
Metformin
MEthotrexate
Sulfasalasine
triamtérène
Cholestyramine
25
Q

Tx Na en grossesse

A
  1. Diclectin
    + Gravol PRN
  2. Promethazine Prochlorpérazine, chlorpérazine
    (derniere ligne) Zofran
26
Q

TX IU en grossesse

A

Amoxi + Céphalo
Cipro si résistances, compliqué
Après 12sem. Macro et septra OK

27
Q

Tx Inf. Vaginale en grossesse

A
Candida
(1) topique
(2) Fluconazole
Bactérien
-Métronidazole ou clinda
Chlam
-Amoxil
-Erythro
-Azythro
-Sinon: cefixime, ceftriaxone, spectinomycine
28
Q

Tx HTA Grossesse

A

Labétalol (pas si asthme)
Adalat (tocolytique)
Aldomet
Hydralazone (en aigu)

D/C les IECA

29
Q

Tx DB grossesse

A

INSULINE

Sinon Glyburide ou metformin

30
Q

TX epilepsie en grossesse

A

Lamotrigine a favoriser!
Sinon: Dilantin, phénobarbital, Tégrétol, keppra, topamax

PAS D’ÉPIVAL

31
Q

Tx Dépression grossesse

A

Anxiolytiques
ISRS mais éviter Paxil
Considerer Prozac, Zoloft, Celexa
Essayer de ne pas utiliser Lithium et ATC

32
Q

Tx Asthme en grossesse

A

Éviter corticos systhémiques, sinon IDEM

33
Q

TX Dlr en grossesse

A

Tylenol
AINS: pas de longues périodes, C-I après 28 semaines
ATT Codéine en post-partum: intox BB
Morphine: Sevrage neonat!