OB quick associations Flashcards
softening of cervix in early pregnancy
Goodell sign
Dark bluish red discoloration of the vaginal mucosa
Chadwick sign
Softening of the uterus in early pregnancy
Hegar and Ladin signs
Skin hyperpigmentation on the face, sun-exposed areas
Cholasma
Skin hyperpigmentation along the midline of the anterior abdominal wall
Linea nigra
Elevated AChE on amniocentesis
neural tube defects
fundal height at pubic symphysis
12 wks
fundal height at 1/2 way to umbilicus from pubic symphysis
16 wks
fundal height at umbilicus
20 weeks
fundal height at 30 cm from pubic symphysis
30 weeks +/- 2 cm
Quad screen: low AFB, high bhCG, low estriol, high inhibin
Downs
Quad screen: low AFP, bhCG, estriol
Edwards - trisomy 18
Teratogen causing clearasil adenocarcinoma
Diethylstilbestrol
Teratogen causing phocomelia
Thalidomide
Teratogen causing Ebstein anomaly
Lithium
Teratogen causing renal/CNS abnormalities, abnormal skull ossification
ACE-I
Teratogen causing neural tube defects
antiepiletics - esp valproic acid
Teratogen causing dysmorphic face, cleft palate, VSD, hypoplastic nails
Fetal hydantoin syndrome - phenytoin
Teratogen causing Gray baby syndrome
Chloramphenicol
Teratogen causing cartlidge toxicity
Fluoroquinolones
Teratogen causing yellow brown discoloration of teeth
Tetracyclines
Teratogen causing nasal hypoplasia, epiphyseal stippling, limb hypoplasia
warfarin
Teratogen causing spontaneous abortion, severe birth defects
Isotretinoin - Vit A, Acutane
Patient with history of hypertension becomes pregnant
chronic htn
New onset hypertension during pregnancy with no proteinuria
gestational hypertension
New onset hypertension during pregnancy + proteinuria or end organ dysfunction
Preeclampsia
Patient with preeclampsia has seizure
eclampsia
Patient with preeclampsia has anemia, thrombocytopenia, and high AST
HELLP syndrome
Chorioretinitis, hydrocephalus, diffuse intracranial calcifications
Toxoplasmosis
Deafness, microcephaly periventricular intracranial calcifications
CMV
Scarring of skin, limb hypoplasia
VZV
Anemia -> hydrops fetalis
Parvo B19
Patent ductus arteriosus, cataracts, deafness
Rubella
Saddle nose, snuffles, Hutchinson teeth, saber shins
syphilis
Bleeding before 20 weeks gestation + no passage of products of conception + closed cervix
Threatened abortion
Fetal death before 20 weeks gestation + no passage of Products of conception + closed cervix
missed abortion
Spontaneous abortion complicated by uterine infection
Septic abortion
Passage of some products of conception + Open cervix
incomplete abortion
Passage of all products of conception + closed cervix
complete abortion
Bleeding before 20 weeks gestation + cramping + no passage of products of conception + Open cervix
Inevitable abortion
Variable deceleration
Cord compression
Sinusoidal pattern of FHR
severe fetal anemia
Early deceleration
Head compression
Late deceleration
uteroplacental insufficiency, fetal hypoxia
monozygote splits at 0-4 days
dichorionic/diamniotic
monozygote splits at 4-8 days
monochorionic/ diamniotic
monozygote splits at 8-12 days
monochorionic/monoamniotic
monozygote splits at 13 days
conjoined twins
69, XXX/XXY/XYY
partial mole
complete mole karyotype
46, XX or XY
hydatidiform mole, uterine size is small for dates, fetal parts present, hCG is elevated, minimal risk of malignancy
Partial mole
hydatidiform mole, uterine size large for dates, no fetal parts, hCG is very high, increased risk of malignancy
Complete mole
Abnormal adherents of placenta to myometrium
Placenta accreta
Invasion of placenta into myometrium
Placenta increta
Penetration of placenta through uterus
Placenta percreta
Fetal blood vessels overlie the cervical os
vasa previa
Painful, sudden premature separation of the placenta from the uterus before delivery
Placental abruption
mild, self-limted depressive sxs, starts 2-3 days after delivery, lasts less than 2 weeks
postpartum blues
meets full MDD criteria, occurs during pregnancy or upt o 4 weeks postpartum
MDD with peripartum onset
hallucinations and/or delusions, risk of suicide and infanticide
postpartum psychosis