pregnancy Flashcards
urine bHCG detectable in urine
14 days after fertilization
bHCG in blood
8 days after fertilization
Ovarian torsion
Sudden severe unilateral pain brought on by movement. Twist of infundibulopelvic ligament/suspensory ligament. Could be due to weight of adnexal mass
hemolytic disease of the newborn
maternal IgG crosses the placenta and attacks RBCs. RhD - mother will attack RhD + baby
Smooth philltrum,thin vermillion border, intellectual disability
Fetal alcohol syndrome
First pharyngeal arch
CN V3, maxillary process, mandibular process,
2nd pharyngeal arch
Cn 7, smile, stapes, styloid
most common cause of painless vaginal bleeding in third trimester
placenta previa
valproic acid in pregnancy
increased risk of neural tube defects
atrialization of the right ventricle
Epstein anomaly - can be caused from lithium use in pregnancy
potter sequence
Pulmonary hypoplasia
oligohydramnios
twisted face
twisted skin
extremity defects
renal failure - ARPKD, posterior urethral valves, agenesis,
babies who can’t Pee develop Potter sequence
most sensitive test for determining pregnancy
serum bHCG
complete mole
46 XX; 46 XY
trisomy 18
low set ears, clenched fists, micrognathia, rocker bottom feet, congenital heart defects, low birth weight
carbamazepine in pregnancy
causes congenital neural tube defects
pregnant patient with DVT treat with
heparin
yellow green foul smelling vaginal discharge
trichomonas
koilocytes
indicative of HPV - condyloma accuminata
uterine fibroids
leiomyoma - benign smooth muscle tumors in the myometrium
connects cervix to pelvic wall
cardinal ligament - ligate during hysterectomy
LH in the menstrual cycle
stimulates follicle to release the egg,
mechanism of combined oral contraceptives
to prevent ovulation, small dose of estrogen and progesterone, inhibit the LH surge so the follicle does not release the egg, subsequence decrease in GnRH -> decrease FSH and LH
BRCA gene
DNA repair protein
mifepristone
progesterone receptor antagonist to induce medical abortion
nulliparity increases risk for
endometrial cancer (CA 125)
placenta adherent to the endometrial wall
placenta accreta - grows too deeply into the wall
proliferation of endometrial glands in myometrium
adenomyosis
endometriosis
ectopic endometrial tissue, dysmenorrhea, dysparunia, adnexal mass, immobile uterus (retroverted)
pre eclampsia
new consent hypertension at > 20 wks plus proteinuria and or signs of organ dysfunction - caused by widespread endothelial cell damage and results in widespread capillary leakage