Nov 21 test Flashcards
Patients with sickle cell disease are at increased risk of what during pregnancy?
Acute pain episodes, preeclamspia -> placental abruption, fetal growth restriction, preterm delivery
What is indicated for pregnant patients with sickle cell disease?
- more frequent prenatal care
- 24 hour baseline protein
- low dose aspirin for preeclamspia prophylaxis
how is a hydatidiform mole managed?
-suction currettage, and serial monitoring of hcg until it’s no longer detectable
patients with a hydatidiform mole are at increased risk of which cancer?
choriocarcinoma
Postmenopausal women with endometrial cells on cervical smear require…
Endometrial biopsy
A pregnant patient with mild thrombocytopenia with no symptoms likely has?
gestational thrombocytopenia
Platelet range for gestational thrombocytopenia?
100 000 - 150 000
Treatment of gestational thrombocytopenia?
reassurance and observation
what is the most likely cause of gestational thrombocytopenia?
dilution effect of pregnancy
If a pregnant patient has <100 000 platelets, what is required?
evaluation for diagnosis (TTP, ITP, etc.)
Clinical features of abruptio placentae
- Sudden-onset vaginal bleeding
- abdominal pain
- high-frequency contractions
- tender, firm uterus
Do all patients with abruptio placentae have vaginal bleeding?
No - 20% have a concealed abruption
Risk factors for abruptio placentae
tobacco and cocaine use (factors leading to ischemia, vasoconstriction, hemorhage, etc)
Is placenta previa associated with painful or painless vaginal bleeding?
painLESS
Risk factors for placenta previa?
- prior placenta previa
- multiple gestations
- prior Ceasarian section
