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EM > OB/GYN > Flashcards

OB/GYN Flashcards

1
Q

Prepubertal vaginal bleeding Ddx

A 
Vulvovaginitis
Foreign body
Trauma
Urethral prolapse
Sexual abuse
Hormone secreting tumor
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2
Q

Premenopausal nonpregnant women ddx

A

Ruptured ovarian cyst
Ovarian torsion
PID
Dysfxnal uterine bleeding

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3
Q

Peri-post menopausal women bleeding ddx

A

Endometrial CA*
Anticoagulation
Hormonal therapy

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4
Q

First tri bleeding ddx

A

Implantation
Miscarriage
Ectopic preg

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5
Q

2nd, 3rd tri bleeding ddx

A

Placenta previa

Placental abruption

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6
Q

Painless vaginal bleeding during pregnancy =

A

Placenta previa

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7
Q

Normal fetal HR

A

120 - 160 bpm

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8
Q

Lack of variability or HR < 120 for over 10 mins in fetal HR =

A

Distress

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9
Q

Late decelerations and sinusoidal pattern =

A

Distress

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10
Q

Placental abruption

A

Usually happens in 3rd tri

Uterine bleeding, pain, fetal distress

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11
Q

Placental abruption risk factors

A

HTN, trauma, polyhydramnios, smoking, cocaine.

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12
Q

Placental abruption tx

A

Tocolysis w/ mag sulfate

Stabilize mom

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13
Q

MIld preeclampsia

A

2 BP measurements > 140/90

Proteinuria >.1g/l

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14
Q

S/S of preeclampsia

A

Blurred vision, AMS, HA
Oliguria
RUQ pain

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15
Q

Preeclampsia tx

A

If >37 wks deliver

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16
Q

Severe preeclampsia

A

SBP> 160, DBP> 110

Proteinuria >5gm in 24 hrs

17
Q

Severe preeclampsia tx

A

Admit
Mag sulfate to prevent seizures
Induce

18
Q

S/S magnesium level is okay

A

Respirations >12/min

>100cc urine/hr

19
Q

Ecclampsia

A

The occurance of 1 or more seizure in preeclamptic women.
Protect airway
Lower BP

20
Q

Variable decels are?

A

Cord compression

21
Q

Death in utero

A

In 2nd and 3rd tri
Usually CC is decreased movement
The longer the fetus is in, the higher the risk of coagulopathy

22
Q

Shoulder dystocia mgmt

A

Distended bladder may be drained
McRoberts maneuver
SUprapubic pressure

23
Q

A women with HSV-2 needs a c-section if?

A

Prodromal sx or active infxn

EM (10 decks)

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