OBGYN 6 Flashcards
impetigo (streptoderma) cause
s.pyogenes(group a) less common
s.aureus (group b) more common
-bullous
-non bullous
physiological jaundice
starts after 24 hr
high conjugated bilirubin (direct)
heal within firs week
unconjugated bilirubin increases in …
- liver diseases
UDP-GT deficiency (crigler Najjar syndrome - hemolysis
ABO/RH - physiological jaundice
increased direct bilirubin
liver disease
bile duct disease
-biliary atresia(risk for early cirrhosis and liver failure)
acute pericarditid
- positional chest pain
- friction rub
- ECG , ST elevation in all leads
- after 3 -14 days after MI
pulmonary embolism
- DVT
- history of lower extremity edema unilateral
- dyspnea
- tachycardia
- hypoxia
cardio sclerotic aneurysm after MI in…?
more than 2 months
recurrent MI findings
ST elevation, elevated CKMB/troponin
acute cardiac aneurism
- after one week of MI
- dilation of heart muscle
- decreased stroke volume
- low CO
- congestion–>dyspnea–>ascites—>lower extremity edema
- HF
MI complication in first 24 hrs
- arrhythmia
- pump failure–>death
MI complications in 3-14 days
- papillary muscle rupture
- systolic murmur on apex +dyspnea
- ventricular septal rupture VSD
left to right shunt - free wall rupture—>tamponade
–>beck triad
beck triad
1) hypotension
2)distended jugular vein
3)distant heart sounds
late complication of MI 2 weeks up to month
- cardio sclerotic aneurism –>HF—>mural thrombus
- Dressler syndrom,pericarditid AI
eclampsia ..?
prevention ..?
preeclampsia+ seizures
mg sulfate + delivery
uterine leiomyoma
tumor type?
risk factor?
symptoms?
uterine findings?
1)benign tumor within the uterine cavity of smooth muscles
2) early menarch,nulliparity,estrogen,premenopause
3) dysmenorrhea,bleeding, infertility,
- liomyoma increases risk for abortion and misscariage
4)irregular enlarged uterus ,firm,assymetrical , well demarcated tumor borders
adenomyosis ?
tumor type?
risk factor?
symptoms?
uterine findings?
1) benign endometrial tissue within the uterine wall
2) early menarch,increased parity,** previous uterine surgery, **
3) dysmenorrhea , bleeding, menorrhalgia , chronic pelvic pain
4) uterine uniformly enlarged
endometriosis?
tumor type?
risk factor?
symptoms?
uterine findings?
1) benign endometrial tissue outside the uterus
2) retrograde menstruation
3) dysmenorrhea , pelvic pain , bleeding , dyspareunia , dyschezia , infertility
4) uterus typically not enlarged ,
gunshot lesions, black / yellow-brown nodules/ chocolate cyst
lung dullnes sound caused by…?
- pneumonia
- pulmonary edema
- pleural effusion
- atelectasis
atelectasis ?
collapse of alveoli
displaced mediastinum to the same side
pneumothorax clinical features
mediastinal deviation to the opposite side
hyperresonant + tympanic sound
fibrous alveolitis on C.T scan
honey comb pattern
PPI side effects
low Ca+ absorption –>more fractures
increased risk for C.difficiliminfection—> pseudomembranous colitis
iron deficiency
ulcer caused by H.PYLORI
duodenal ulcer
prevalence for cancer
C.T scan
