OB/GN Flashcards
Best Emergency Contraception
IUD, can be installed up to 120 hours and removed up to 10 years, with immediate return to fertility
Endometriosis manifestation
Dysmenorrhea, dyspareunia with deep penetration
HPV associated diseases
Cervical Cancer Vulvar and Vaginal cancer Anal cancer Penile Cancer Oropharyngeal cancer (tonsilar) Anal Warts
HPV Vaccine
ALL MALE AND FEMALE 11-26 y/o
NOT INDICATED IN PREGNANT WOMEN
Tamoxifen most common A/E
Hot flashes 80%
Endometrial cancer, PE
DOES NOT INCREASE OVARIAN CANCER RISK
Painless, irregular and heavy bleeding post menarche
Hypothalamic - pituitary - ovarian immaturity
Reactive Nonstrees Test
in 20 minutes
at least 2 FHR accelerationes
peak more than 15 bpm
lasts longer than 15 secs
Patient with bhCG 3,003 with (-) US
Repeats bhCG 3580 @ 48 hrs
Abnormal rise (< 35%)
either a nonviable intrauterine pregnancy or an ectopic pregnancy
Perform a diagnostic dilation and curetage
Cesarean delivery
Mutliparity
Smoking
Risk factors of ???
Placenta previa
Pregnancy bleeding after week 20
Placenta previa features
Painlees bleeding
maternal bleeding, non fetal
reassuring fetal monitor
Placental Abruption features
separation prior to the delivery
vaginal bleeding AND contractions
Constant abdominal pain
Pregnant patient with myasthenia gravis, avoid?
Magnesium sulfate Quinolones Antidepressants calcuim channel blockers betablockers
Pregnant patient with myasthenia gravis and preeclampsia with severe features
What do you prevent seizures with?
Valproic acid
Pregnant patient with abdominal pain and bleeding
Irregular abdominal mass
fetal decelerations
Uterine rupture
Risk factors for uterine rupture
Prior surgery (specially classical cesarean)
Fetal macrosomia
Prolonged labor
