OB GYN Flashcards
what does fibrinogen mean in VB preggo
Fibrinogen levels correlate best with the severity of bleeding, with initial levels of ≤ 200 mg/dL having a 100% positive predictive value for severe hemorrhage.
*bleeding can be concealed behind placenta
KB test used for?
fHgb in blood for rhogam use
What is fitx hugh curtis
tx
bug
Inflammation liver capsule/peritoneum
CFTX DOxy to tx PID
Chlamydia
Post partum or PID liek stufff- febrile think…
endometritis - CLinda and Gent
What are the 5 MTX indiciations for ectopic pregnancy?
- Stable
- no evidence of rutpture
- no fetal cardiac actvitiy on US
- Ability to comply and follow up
- gestational sac <4 cm
Make sure deliver and kidney is healthy
make sure b hcg <5000
what is PID and Tx?
CDC recommends empiric treatment of PID in young, sexually active women with pelvic or lower abdominal pain who experience cervical motion tenderness, adnexal tenderness, or uterine tenderness
+/- fever, abnormal purulent vaginal discharge, presence of white blood cells on wet mount of vaginal discharge, elevated erythrocyte sedimentation rate or C-reactive protein, or documented infection with N. gonorrhoeae or C. trachomatis.
Outpatient if OK CFTX x 1 and doxy x 14 days, metronidizole x 14 days
inpatient if sick, febrile vomtining
preggo, low plateltes, low hgb, transaminitis
HELLP (hemolysis, low platels, elevated liver enzymes). abnromal vessel reactivity in placenta
Patients with HELLP syndrome are at risk for bleeding complications, including disseminated vascular coagulation (DIC), intracranial hemorrhage, placental abruption, and spontaneous hepatic or splenic hemorrhage.
what is sheehan syndrom
PPH wiht hyperperfsuion and panhypopituitarism
PID inpatient crieteria
pregnancy, presence of tubo-ovarian abscess, inability to tolerate or follow an outpatient oral regimen, those who have failed outpatient management, severe illness, nausea and vomiting, high fever, and those in whom an alternative surgical diagnosis
Outpatient if OK CFTX x 1 and doxy x 14 days, metronidizole x 14 days
inpatient if sick, febrile vomtining
cefotetan nd oxy inpateint
cord prolapse next stpe
elevate and or have mom in downward facing dog with butt in air
premature rtupture of memebrane 37 weeks or before…
Admit for induciton of labor and abx - high risk of infection
sterile speculum to look for cord prolapse
Molar pregnancy high risk of
HTN
VB common cause in in preggos
Placenta previa
Tx HELLP syndrome
Mag drip
+/- hydral if HTN
hypermag
low reflexes, somnolent
fixed dialted pupils
