O&G Flashcards
emergency contraception <72 hours after UPSI
levonogestrel
fetal varicella syndrome triad
1) eye defects
2) limb Hypoplasia
3) microcephaly`
pregnant lady comes with chicken pox rash- what to do
start treatment of aciclovir, too late to check IG/give IG
pregnant lady -contact with chicken pox, hx of chicken pox - what to do
check her IGg levels, if low needs top up
emergency contraception <5 days >72 hours
IUcopper D- not mirena
other benefits of COCP for young women
1) treats acne
2) treats irregular periods
only useful contraceptive for HIV
condoms
what virus causes warts on vulva and perineum in young women
HPV 6 and HPV 11
high risk(PMHx DM, past history of large baby, >4.5kg BW, Fhx of GDM) of Gestational diabetes- what screening(
Glucose tolerance test at 20-28 weeks gestation
missed miscarriage key finding
1) no bleeding , sometimes brown discharge
2) no fetal heart activity
missed miscarriage management
- watch and wait
- misoprostol
- ERCP
complete miscarriage definition
any treatment
- bleeding and complete passage of sac and placenta
- no need for D&C
Threatened miscarriage
- vaginal bleeding and cramping
- cervix closed
- watch and wait
incomplete miscarriage
- extremely heavy bleeding and cramps.
- USS showed products of conception
inevitable miscarriage
- increasing bleeding and cramps
- rupture of membranes
- CERVICAL OS IS OPEN- key difference between threatened
70 year old with recurrent UTI and urgency- biopsy showed atrophic vaginitis(thinning of skin around urethra can cause this) treatment
oestradiol cream
why cant you give warfarin to pregnant women
it is teratogenic- crosses into fetus
why is pyelonephritis more common in pregnant women
pregnancy causes dilation of ureters and calyces
symphysis pubis dysfunction key management
explain and reassure it will go away after birth.
dichorionic pregnancy- need to look out for maternal anaemia-what ix
FBC- at 20-24 weeks to assess need for iron supplementation
folic acid 5mg vs 400mcg
5mg- high risk- epileptics.
400mcg-normal
lymphomagranulomavenereum
- organism
- stages
- symptoms
- chlamydia trachomatis
- step 1- painless genital ulcer
- step 2-10 days to 6months later- lymphadenitis(painful lymphadenopathy), proctocolitis(painful defecation) and cervicitis(non-offensive vaginal discharge)
features of severe eclampsia(4)
- severe headache
- visual disturbances
- epigastric pain
- hyper-reflexia/clonus
type of discharge with vaginal candidiasis
thick paste like cheesy discharge
contraindications for progesterone only pill(2)
1) active liver disease
2) active breast cancer
features of congenital rubella(quite a few)- brain size
- heart
- brain function
- liver and spleen
- microcephaly- NOT hydrocephalus
- cataracts
- cardiac lesions
- cerebral palsy
- thrombocytopenia
- jaundice, hepatomegaly and cerebral calcification
number of ulcers for syphillis
one single painless chancre- key way to differentiate from herpes
painless vaginal bleeding >28 weeks
placenta praevia
painful bleeding with shock
placental abruption