Surgery/Obs/Gynec/Anatomy Flashcards
Ca Endometrium staging
1 confined to uterus
- invade cervical stroma
3 a. adnexal/serosal
b. Vaginal
c. Pelvic/Paraaortic
4 a. Bowel and bladder Mets
b. Distant mets
Ca Endometrium stage 3 Mx
Chemotherapy
( Doxo + pacli + cisplatin)
1st line Mx of Endometriosis
Medroxy progesterone acetate
DOC of Endometriosis
GnRH Analogues (agonist+antagonist)
Orphan Annie eye nuclei seen in
Pappillary Ca Thyroid
Gastrinoma/ZES triad
- peptic ulcer
- Acid hypersecretion
- Duodenal/pancreatic tumor
Visual disturbance + Amenorrhea + Headache + hyperpigmentation following Adrenalectomy
Nelson disease
Association fibers
- Sup longitudinal fasciculus
- Inf longitudinal fasciculus
- Fronto occipital fasciculus
- Uncinate fasciculus
- Cingulum
Commissural fibres
- Corpus callosum
- Ant. Commissure
- Post. Commissure
- Habenular Commissure
- Hippocampal Commissure
Projection fibres
- Int. Capsule
- Corona radiata
- Fornix
- Fimbrae
Charcot artery is a branch of
MCA
Ant. Choroidal artery is branch of
ICA
Post Limb of Internal capsule supplied by
Charcot artery
Ant choroidal artery
Br. Of Post cerebral artery
Dose of Levonorgestrel for emergency contraception
0.75mg stat and after 12 hr
Dose of Ethenyletradiol and norgestrel for emergency contraception
Ethenyletradiol 50 microgram
Norgestrel 0.25 mg
2 tab Stat and 2 tab after 12 hr
Dose of Ethenyletradiol for emergency contraception
2.5 mg BD for 5 days
Dose of Centchroman for emergency contraception
60mg-2 tab 12 hr apart i.e total 4 tab ( within 24hr)
Dose of ullipristal for emergency contraception
30mg tab within 72 hrs
Tumor marker of Epithelial ovarian tumors
CA125
CA19-9
CEA
Tumor marker of Endodermal sinus tumor/Yolksac tumor
AFP
Tumor marker of Dysgerminoma
LDH
PLAP
Tumor marker of Embryonal carcinoma
AFP
HCG
Tumor marker of Mature teratomas
AFP
Tumor marker of Granulosa cell tumor
Inhibin
First trimester abortion medical method
D1 - MIFEPRISTONE 200mg PO
D2 - MISOPROSTOL 800mg PV/Sl/Buccal
Or
MISOPROSTOL 800mg
(3 hrly Max 3 Doses)
Second Trimester abortion medical methods
D1 - MIFEPRISTONE 200mg
D2 - MISOPROSTOL 400mg (3hrly Max 5Doses)
Or
MISOPROSTOL 400 mg (3hrly Max 5 Doses)
Or
DINOPROSTONE 20mg PV (4hrly Max 3 Doses)
p53Kip2 in partial mole
Positive
HELLP syndrome criteria
Schistocytes
Bil > 1.2 mg/dL
SGOT > 72 U/L
LDH > 600 U/L
Plt < 1 lakh
Delivery in Mild preeclampsia and severe preeclampsia
Mild @ 37 wks
Severe @ 34 wks
Pritchard Regimen
Loading - 4g 20% (slow IV) + 10g 50% (IM 5g on each buttock)
Maintance - 5g 50%(every 4 hrly on alternate buttocks)
Doc in MgSO4 toxicity
10% Ca Gluconate
Doc in status eclampticus
Thiopentone Sodium
BIRADS stages and Mx
0 - inconclusive - do other modalities
1 - negative - f/u Annually
2 - benign - f/u Annually
3 - prob. Benign - 6 m x 2 yr
4 - susp. Malignancy - Bx
5 - Highly. Malignancy - Bx