Jan 3 2020 Flashcards
What is the initial investigation for MIXED incontinence?
A voiding diary - keep track of fluid intake, urine output, leaking episodes, etc. to determine the predominant type
should you wait for spontaneous labour in IUD?
No - this generally takes 2-3 weeks and can cause coagulopathies
how should you deliver a women with IUD (>24 weeks)
induced vaginal delivery when they are ready
does a woman with O blood have anti-A or anti-B antibodies during her first pregnancy?
YES - we are exposed early in life from antigens in food - she will have igG antibodies
is ABO hemolytic disease serious?
No it is often very mild - may be asymptomatic or baby may have mild anemia/jaundice
does severe diarrhea cause acidosis or alkaloisis?
acidosis - from the loss of bicard
A sharp decline in spontaneous conceptino rates begin in what age in a woman?
35
what causes the decline in conception rates seen in women in their late 30s?
diminished ovarian reserve
do patients with 5-alpha-reductase deficiency develop breasts at puberty?
No - testosterone binds to the androgen receptor and prevents this
do patients with androgen insensitivity have breast development at puberty?
Yes - they have resistance to testosterone so breast development is not inhibited by it
Genotype of a patient with 5-alpha-reducatse deficiency?
XY
Genotype of a patient wiht androgen insensitivity syndrome?
XY
What changes are seen in a patient with 5-alpha reductase at puberty?
-virilization - a XY (phenotypically female) patient will have acne, male pattern hair development, increased muscle mass, etc. due to the increase in testosterone at puberty
3 causes of late post-partum hemorhage?
- retained products of conception
- placental site subinvolution
- postpartum endometritis
why are patients with intrapartum infection at increased risk for retained products of conception?
the inflamation allows the tissue to adhere more
