Qs Flashcards
Mammo recs
Age 50-75
Every 2 years
Trichomonas
Anaerobic flagella Protozoa
Foul smell, frothy
Purulent d/c
pH>4.5
Metronidazole (pt and partners)
Strawberry cervix w/ punctuate hemorrhages
Gardnerella vaginalis
Clue cells
Fishy, gray/milky d/c
pH>4.5
Metronidazole or Clindamycin
Disseminated gonococcal sympt and treat
Dermatitis pustular feet
Septic arthritis
Treat doxycycline or IV ceftriaxone
Lithium
1st trimester
Epstein- atrial RV, tricuspid regurg, RA enlarge
Breech at 38 wk
Offer ext cephalic conversion if want vaginal delivery
Uterine atony
Massage
Oxytocin
Misoprostol
Carbopost (prostaglandin)
TXA
Enterocele or rectocele
Upper 1/3 vaginal wall protrusion
Recto—middle 1/3 vagina
Herniated section intestines
Lax spinctor tone
Risks: multiparity, post menopausal, prior pelvic surgery
Threatened abortion
<20wks, VB
Closed cervix
Fetus has cardiac activity
HELLP
Pre-eclampsia (HTN)
Hemolysis (low hgb, haptoglobin)
High LDH, indirect bili
High liver enzymes
Low plts
When deliver HELLP
34 wks
Complete abortion
Bleed
No cardiac activity
Missed abortion
No bleeding
No cardiac activity
Double decidual sac sign
No expulsion of fetal parts
Common cause of 1st trimester losses
Chromosome abnormalities
PCOS treat
1st line—COC
2nd line—Spironolactone
Genital herpes
HSV2
Painful, Pruritic vesicles (that rupture and leave ulcerations)
Inguinal lymphadenopathy
Uterine inversion
Postition manually or surgical repair
Brisk PPH
no palpable fundus, mass protruding from vagina
Active labor
> 6cm dialation
PROM and risk factors (2)
LOF before onset of labor/uterine contractions
Risk: smoking, multiple pregnancies
Adnexal mass with septations
Epithelial ovarian cancer
Urgency incontinence treat
Oxybutynin (muscarinic antagonist)
Mirabegron (symp agonist)
Overflow incontinence
Bethanechol (cholinergic agonist)
Intermittent self catherization
Stress incontinence
Kegel exercises
Midurethral sling
Endometritis treat (PP)
Gentamicin
Clindamycin both
Galactocele
Mobile breast mass
After stop breastfeeding
Resolve spont
Variable echogenicity on US
Reactive NST
2 accel
15s
>15bpm
In 20min
Tamoxifen
Antagonist at breast
Agonist endometrium and bone
E. coli cystitis treat
TMP SMX
Chorioamnitits symptoms and risks what bc of this
Mat fever
Malodor amniotic fluid
^fetal HR
Uterine tenderness
Risks of this are prolonged labor PPROM
Preg w Pyelo
IV cefotaxime (3rd Gen)
Gestational trophoblastic Dz
> 100,000
Choriocarcinoma or molar preg
Graves/hyperthyroidism 1st trimester treat
Propylthiouracil
2nd and 3rd trimester graves/hyperthyroidism treat
Methimazole
Uterine rupture symptom and management
X contractions
Loss fetal station
Bleeding
Exploratory laparotomy, c section
Acute Fatty liver Dz
Leukocytosis
Low plts
Increase PT
Hyperbili
Increase AST/ALT
Hemolysis
Hypoglycemia
Immediate delivery
Thinning myometrium on US
Placenta accreta
Placental abruption symp
Rigid uterus
Hypertonic cx
Preg opioid d/o
Buprenorphine
Or
Methadone
Umbilical cord proplapse
Thick, Pulsating cord
Fetal bradycardia
Recurrent decels
C section
When to give rhogam
28 wks to Rh - mom
Hypothyroidism and infertility
Can increase PRL which x GnRH so x LH, FSH
So treat with levothyroxine to correct hypothyroidism
Cervical insuff
Bulging bag w/fetal parts
Painless cervix dialation
Cerclage place
Bartholin gland cysts
Post vulvular vestibule
Preg with watery diarrhea
Listeria
IUFD
Epidural SE
Hypotension
Cervical insuff sign
Cervical length <25mm
Monoamniotic monochorionic twins at risk of what
No mem visible
At risk umbilical cord entanglement
Vaginal hematoma
Vaginal mass
Hypovolemic shock
Ashermans syndrome
Normal FSH, estrogen
After D/C adhesions/fibrosis
2 amenorrhea
Chorioamnitits treat (vag vs CS)
Ampicillin and gentamicin (vag)
Those + Clindamycin (CS)
Chancroid Ab
Ceftriaxone
Azithromycin
