O&G Flashcards
Primary causes of third trimester bleeding
Placental abruption & placenta previa
Classic ultrasonography and gross appearance of complete hydatidiform mole
USS: snowstorm
Gross ex: cluster of grapes appearance
Chromosomal pattern of a complete mole
46,XX
Molar pregnancy containing fetal tissue
Partial mole
Symptoms of placental abruption
Continuous, painful vaginal bleeding
Symptoms of placenta previa
Self limited, painless vaginal bleeding
When should a vaginal exam be performed with suspected placenta previa?
Never
Teratogenic antibiotics?
Tetracycline
Fluoroquinolones
Aminoglycosides
Sulphonamides
Medication given to accelerate fetal lung maturity
Betamethasone or dexamethasone x 48hrs
The most common cause of postpartum haemorrhage
Uterine atony
Treatment for postpartum haemorrhage
Uterine massage
If massage fails give oxytocin
Typical antibiotics for Group B strep (GBS) prophylaxis
IV penicillin or ampicillin
A patient fails to lactate after an emergency C-section etc marked blood loss
Sheehan’s syndrome (postpartum pituitary necrosis)
Uterine bleeding at 18 weeks gestation; no products expelled; cervical os open
Inevitable abortion
Uterine bleeding at 18 weeks gestation; no products expelled; cervical os closed
Threatened abortion
The first test to perform when a woman presents with amenorrhoea
b-HCG
Most common cause of amenorrhoea is pregnancy