OBGYN Flashcards
adenomyosis
> 40 yo
- chronic pelvic pain
- dysmenorrhea
- heavy bleeding
- bulky, globular, boggy, tender uterus
rx for pubic symphysis diastasis
supportive
Modifiable risk factors for osteoporosis
smoking
↑↑↑ ETOH
sedentary
Thyroid changes in prego
- ↑ Total T4 (from ↑ TBG)
- Free T4- unchanged
- ↓TSH (suppressed by hCG)
Chorioamnionitis
Baby is still in!
common in PROM
maternal fever and >1 of:
-uterine tenderness
maternal/fetal tachycardia
- malodorous fluid
- purulent discharge
prolonged rupture of membranes is defined as?
> 18 hours between rupture and birt
Chorioamnionitis rx
- delivery
- -not an indication for c/s in and of itself
- abx
- antipyretics
Outpatient rx for PID
IM ceftriaxone
PO doxycycline
Preterm labor definition
contractions AND cervical changes prior to 37 weeks
Definitive way to ddx endometriosis
laparoscopy
High grade squamous intraepithelial lesions on pap?
concerning for sever neoplasia (CIN2 or CIN3)
needs immediate colposcopy* or loop excision
*even in prego. Then loop if + for invasive cancer
Trichloroacetic acid therpay
rx for genital warts from HPV 6 or 11
What if you cant get the trasformation zone visualized on colposcopy
do an endocervical curettage
Dysgerminoma
ovarian tumor in women under 30
makes LDH/ hCG
Granulosa cell tumor
malignant estrogen secreting
in kids may present as precious puberty
Most common benign ovarian neoplasm
serous cystadenomas
Base line testing before starting trastuzumab
- Treats HER2+ breast ca
- Risk of cardio toxicity
- Need base line echo w/ periodic echos for monitoring
Baseline testing for anastrozole
- Rx for postmenopausal ER+ breast ca
- Aromatase inhibitor
- Inc risk of osteoporosis, base line bone density scan
Every ovarian mass work up in postmenopausal woman gets?
Ca-125 level
pelvic ultrasound
Cervical mucus plug
- barrier to ascending infections in prego
- brown/ red/ yellow thick mucus
- typically shed before labor
Receptor prognosis in breast cancer
HER2- bad
ER/ PR- good
Stress incontinence MOA
urethral hypermobility
Postpartum woman with enlarged uterus, irregular vaginal bleeding, pulm symptoms, and infiltrates on cxr
suspect choriocarcinoma
check b-hCG
Diabetic neuropathy incontinance
overflow
bladder scan shows markedly increased post void volume (> 150)
