Nov 22 2020 Flashcards
are leiomyomas benign or malignant?
benign
why do leiomyomas grow in pregnancy?
increased estrogen and progesterone
Presentation of leiomyoma degeneration?
-uterine contractions (due to prostaglandin release), fundal tenderness, tender mass, and leukocytosis
Management of a degenerating leiomyoma?
- conservative (pain relief)
- indomethicin for patients <32 weeks gestation
Treatment of menopause symptoms?
- topical vaginal estrogen
- hormone replacement therapy
what are the contraindications for an iud (both copper and progestin)?
- unexplained vaginal bleeding
- endometrial cancer or cervical cancer
- pregnancy
- gestational trophoblastic disease
- distorted endometrial cavity
- acute pelvic infection
what contraindications are specific for the progestin IUD?
- acute liver disease
- acute breast cancer
what are the contraindications for the copper iud specifically?
wilsons disease
what are the complications of PPROM?
- preterm labour
- intraamniotic infection
- placental abruption
- umbilical cord prolapse
risk factors for genito-pelvic pain/penetration disorder?
- sexual trauma
- history of abuse
- lack of sexual knowledge
treatment for genito-pelvic pain/penetration disorder?
- kegel exercises
- desensitization
what is a normal amount of fetal movements in third trimester?
> 10 in two hours
when do you begin apsirin prophylaxis for a woman with previous preeclamspia?
12 weeks gestation
what condition may cause a false pos VLDR test?
anti-phospholipid syndrome
what blood test may be artificially prolonged in anti-phospholipid syndrome?
aPTT
how to treat antiphospholipid syndrome in pregnancy?
LMWH
presentation of endometrial polyp?
Usually asymptomatic but can present with painless intermenstrual bleeding
treatment for endometrial polyp?
hysteroscopic polpectomy
prognosis of post-partum thyroiditis?
Usually self-limited - usually back to normal within a few months
treatment of post-partum thyroiditis?
for hyper - beta blockers
for hypo - hormone replacement
most common causes of acute cervicitis?
gonorhea and chlamydia
how to confirm gonorhea or chlamydia?
NAAT testing - dont gram stain
what is pubic symphisis diastisis?
normal in pregnancy - widening of the pubic symphysis during pregnancy to facilitate birth. Driven by increased progesterone and relaxin
how does symptomatic pubic symphysis diastisis present?
- difficulty ambulating
- radiating suprapubic pain
- pubic symphisis tenderness
- intact neurologic exam
