OB 1 Flashcards
What is schizoaffective disorder?
Mood disorder comes and goes but schizophrenia always there!
What is embryonic age?
Measured from fertilization. But gestational used more often from last period.
Due date calculator?
1 week minus 3 months
Preterm vs abort? What is the cutoff?
20 weeks is cutoff
Full term starts when?
37 weeks
What happens to BUN and Cr in pregnancy?
Goes down b/c more filter
Chronic pancreatitis lab test with most sensitivity and specificity?
Low fecal elastase
Vitamins you should get in pregnancy?
Folate and Iron
When do you screen for diabetes in preggers?
24-28 weeks
What do you do after weird quadruple screen?
US to observe for things like dating or multiple gestation
The Chorion Villus Sampling or Amnio
Tx vomiting in preggers?
Vitamin B6 or doxylamine (antiacetylcholine)
History of hyperemesis gravid arum?
Lose 5% of weight loss, dehydration, abnormal labs
What causes gestational diabetes?
Human placental lactogen
DM fetal surveillance starts week 32-34 weeks?
Oh ok. Makes sense.
Congen malformations in diabetic moms?
Cardiac and CAUDAL REGRESSION SYNDROME
Pregestational diabetes mom has what special test?
Fetal echo during second trimester for heart defects
Deliver babies of pre gestational moms when?
39-40 weeks
Asymptomatic bacteriurea screened for at first prenatal battle. Tx?
Treat it and repeat urine culture one week after antibiotic.
Big clue that it is pyelo and not cystitis?
WBC casts! b/c came from kidney
Preggers and pyelo tx?
ADMIT and big gun IV antibiotics empirically
Then treat rest of pregnancy
Tx of gestational htn?
Close monitoring for progression
Definition of severe preeclampsia?
160/110 or preeclampsia with end organ dysfunction
Tx of severe preeclampsia?
Lower BP
Magnesium to stabilize
Delivery
Reversal treatment for too much magnesium sulfate?
Calcium gluconate
Anticoag post DVT in preggers?
Heparin for 6 weeks
THEN NO MORE ESTROGEN CONTAINING OCP!
Pregnany mom who has PE symptoms but with DIC?
LIKELY AMNIOTIC FLUID EMBOLISM
Preeclempsia dx?
New HTN and 300 mg/day proteinurea
Or new organ failure