OBGYN Flashcards
Gestation when ecclampsia can be diagnosed
After 20 weeks
Tx PID
250 ceftriaxone IM x1ed
2 weeks of doxycycline 100 bid
“turtling” of the fetal head (retracting into the perineum after a contraction), dx?
Shoulder dystocia
Obstetric emergency
First, apply suprapubic pressure
OB reasons for DIC
Pregnancy-related DIC can be seen during both the antepartum and postpartum periods, most frequently due to placental abruption, HELLP syndrome, or retained products of conception.
DIC labs
Labs will show thrombocytopenia, decreased fibrinogen, increased fibrin split products, and increased BT, PT, and PTT
When to treat PID inpatient
Pregnancy, any gestation
First line tx excessive uterine bleeding
unstable nonpregnant women with prolonged bleeding should receive high-dose intravenous (IV) estrogen. Premarin (conjugated estrogen) is the first-line treatment and should be given 25 mg IV every two to six hours until there is reduction in bleeding
When to biopsy vulvar cyst
Age >40
What happens to most cases of placenta previa discovered before 20 weeks gestation?
Spontaneous resolution
Never do what if placenta previa is suspected?
Digital vaginal examination should not be performed before ultrasound in any woman after 20 weeks gestation with bleeding until placenta previa is excluded due to the risk of perforation of the placenta and resulting severe hemorrhage
What is the most likely diagnosis in a patient being appropriately treated for eclampsia who now presents with nausea, somnolence, muscle weakness, and loss of deep tendon reflexes?
Hypermagnesemia
PE signs of ecclampsia
PE will show new-onset hypertension (>140/90 mm Hg) with proteinuria (> 300 mg/24 hr)
At what week gestation is heartbeat usually first present?
6
Tx mastitis
Dicloxacillin/amoxicillin
Chronic suppressive tx for herpes recommended aboev how many outbreaks per year?
6
Tx PID
Ceftriaxone 250 mg IM and Doxy x 10-14 days
Fluids in hyperemesis gravidarum
LR w/ 5% glucose +/- thiamine
Tx magnesium toxicity
Calcium
Sxs magnesium toxicity
Loss patellar reflexes
Respiratory depression late
BP for Preeclampsia
> 160/110
or >140/90 w/ proteinuria >300 mg
or New onset HTN w/ thrombocytopenia, renal insufficiency, impaired liver fx
Suspected dx for new onset HTN <20 weeks
Molar pregnancy
Tx preeclampsia
4 mg mg IV
When not to give methotrexate for ectopic
Fetal heartbeat, bc high tx failure
