other Flashcards
normal postvoid residual volume
less than 150 in women
less than 50 in men
RF for pseudocyesis
- history of infertility
2. prior pregnancy loss
violent muscle contraction during seizure can lead to
posterior dislocation of the shoulder
abdominal pain in chiladbearing age woman - next step
pregnancy test –> if (+) –>. US
if (-) –> consider CT
Pubic symphysis diastasis - RF
- fetal macrosomia
- multiparity
- precipitous labor
- operative vaginal delivery
Pubic symphysis diastasis - presentation
- difficulty ambulating
- radiating suprapubic pain
- Pubic symphysis tenderness
- intact neurologic examination
Pubic symphysis diastasis - management
- conservative
- NSAID
- Physical therapy
- pelvic support
Vesicovaginal fistula - RF
- pelvic surgery
- Pelvic irradiation
- Prolonged labor/childbirth trauma
- Genitourinary malignancy
Vesicovaginal fistula - clinical features
painless, continuous urine leakage from the vagina
Vesicovaginal fistula - diagnostic studies
physical exam
dye test
cystourethroscopy
vaginismus treatment
vaginal dilators
Pelvic organ prolapse - definitions
cystocele - bladder rectocele - rectum enterocele - small intestine procidentia apical prolapse - uterus, vaginal vault
Pelvic organ prolapse - RF
obesity
multiparity
hysterectomy
postmenopausal
Pelvic organ prolapse - Clinical presentation
Pelvic pressure obstructed voiding urinary retention urinary incontinence constipation fecal urgency, incontinence sexual dysfunction
Pelvic organ prolapse - management
weight loss pelvic floor exercise vaginal pessary surgical repair (complete herniation of the uterus requires mechanical correction: pessary, surgical repair)
MgSO4 in patients with renal failure
high risk of toxicity
genito-pelvic pain/penetration disorder - RF
- history of abuse
- lack of sexual knowledge
- sexual trauma
genito-pelvic pain/penetration disorder - clinical features
pain with vaginal penetration
distress/anxiety over symptoms
no other medical cause
genito-pelvic pain/penetration disorder - treatment
desensitization therapy
kegel exercise
anovulation of obesity
normal FSH and LH levels
ovaries are still producing estrogen but progesteron is not produced
definition of infertility
failure to archieve pregnancy after 12 months of unprotected intercourse for a couple in which the woman is age less than 35 or 6 months if she is 35 or older