Repro 4 Flashcards
Dx for Gestational trophoblastic disease (Molar pregnancy)
Uterine size and date discrepancies
Markedly elevated HcG >100,000
Pelvic ultrasound shows central heterogenous mass with multiple discrete anechoic spaces that look like snowstorm or cluster of grapes appearance.
First 14 days, the endometrium thickens under the influence of estrogen. In the ovaries, a dominant follicle matures leading to ovulation.
Follicular phase
Progesterone predominates which phase of the menstrual cycle?
Luteal phase
Severe PMS with functional impairment where anger, irritability and internal tension are prominent.
Premenstrual dysphoric disorder.
Female athlete triad
Hypothalamic amenorrhea, eating disorder, osteoporosis.
Fertility preserving procedure done in leiomyoma (fibroids)
Myomectomy
Dx of menopause
Cessation of menses > 1 year
FSH and LH
Labs show Increased FSH and LH, Low estrogen.
Management for menopause?
Estrogen only if no uterus
Estrogen +progestin if uterus present
Islands of endometrial tissue within the myometrium.
Menorrhagia and dysmenorrhea.
Symmetrically uniformly enlarged, globular boggy uterus.
Adenomyosis
Tx for adenomyosis
Total abdominal hysterectomy.
Patient with a prior c-section presents with a fever, tachycardia, abdominal pain, and uterine tenderness 2-3 days after her c-section.
Endometritis
Tx for Endometritis
Clindamycin + Gentamicin
MC site of endometrial tissue implantation?
Ovaries
First step in gestational diabetes screening?
1 hour 50 gram glucose test at 24-28 weeks
positive if glucose is > 130
Second step in gestational DM screening?
100 gram 3 hour test.
Fasting > 95
1 hour > 180
2 hour > 155
3 hour > 140
need 2/4 positive.
