Obs high yield Flashcards
UTI in pregnancy - trimester 1 and 2
Nitrofurantion
UTI in preg - trim 3
amoxicillin/ cefalexin
absent end diastolic flow?
delivery by 34-36 weeks
reversed end diastolic flow
admit for CTG
consider urgent CS
pregnancy hormones increasing insulin resistance
- human placental lactogen
- progesterone
electrolyte disturbance in vomiting pic (HG)
hypokalaemia
metabolic alkalosis
medical management for ectopic
methotrexate
MOA for misoprostal
prostaglandin analogue
softens cervix+ stim contract
gestational sac diameter 25mm, no foetal pole?
anembryonic pregnancy
1st line tx NVP
promethazine
cyclizine
2nd line tx for hyperemesis
ondansetron/ metoclopramide
ondansetron/ metoclopramide S/E?
QT prolongation
maternal complication following NVP/HG
wernicke’s encephalopathy
complication following incomplete miscarriage
endometritis
treatment for APS in pregnancy?
low dose aspirin
low dose LMWH
when is fetal HB expected on USS?
C-R length 7mm
- severe morning sickness
- raised hCG
- large uterus
- vaginal bleeding
molar pregnancy
methotrexate management of ectopic?
hCG level < 5000
confirmed absence of IU preg
cannot get pregnant for 3 months after
> 20 wks
severe headache / vision
high BP
urine dip - 3+ protein
pre-eclampsia
1st line for mild/mod pre eclampsia?
oral labetalol
1st line for severe pre-eclampsia?
IV labetalol / hydralazine
1st line for eclampsia?
magnesium sulfate
- haemolysis
- elevated liver enzymes
- low platelets
HELLP syndrome
diagnostic for HELLP?
- LDH > 600 + schistocytes
- AST/ALT> 70
- platelets<100
when + what is given prophylaxis for pre-eclampsia?
12wks -> aspirin
1x high RF
>1 Moderate RF
1st line for preeclampsia AFTER delivery
enalapril
