TrueLearn Facts Flashcards
Where is most effective cervical block?
4 o’clock; 8 o’clock (which is immediately lateral to the insertion of the uterosacral liqaments into the uterus, where the Frankenhauser plexus lies)
What are key features of Noonan Syndrome ?
1) Pulmonic Stenosis (most important) 2) Short Stature 3) Intelectual Disability 4) Pectus Deformity 5) Coagulation Defects 6) Renal Abnormalities 7) Lymphatic Dysplasia 8) Characteristic Facial features
What is the following condition: shifting location of pain, deep dyspareunia, postcoital pain, and exacerbation of pain after prolonged standing with radiological findings of pelvic varicosities (dilated uterine and ovarian veins)
Pelvic Congestion Syndrome There is no definitive diagnostic criteria, diagnosis of exclusion
What is treatment for maternal listeriosis?
1 week of ampicillin and gentamicin; diagnosed on blood cultures
Fetus & placenta develop abscesses.. sign of?
Listeriosis Early Onset: multiple organs & presents as diffuse neonatal sepsis/stillbirth Late Onset: meningitis after an uncomplicated prenatal & delivery course
Gestational Age –> Development : 5th Week –> 6th Week –> 7th Week –> 8th Week –> 11th Week –>
5th Week –> Neural Plate Appears 6th Week –> Heart 7th Week –> Head & Face 8th Week –> Eyes 11th Week –> Genitalia
[insert photo of Hydrops Fetalis] What is this? What causes it?
Parvovirus B19 Hydrops Fetalis
Complete Mole, Karyotype is:
46,XX or 46,XY
Partial Mole, Karyotype is:
69,XXX or 69,XXY
Ureteroneocystostomy vs. Ureteroureterostomy is utilized when injuries occur to what part of ureter?
Ureteroneocystostomy = lower 1/3 Ureteroureterostomy = upper 1/3
What is a Maylard Incision?
involves transecting all layers of abdomen and muscle, 3-8cm above pubic symphysis
Rate of Underlying Leiomyosarcoma of Myoma?
0.05%, 1/2,000
SIRS vs. Sepsis vs. Septic Shock
SIRS: 2 out of 4 criteria (elevated WBC, febrile, >90 HR, >20 RR)
Sepsis: SIRS + Source of Infection
Septic Shock: Sepsis + Hypovolemia + Unresponsiveness
Findings of Adenomyosis on TVUS include:
1) Globally enlarged uterus; 2) heterogenous myometrial texture; 3) anterior/posterior uterine wall appearing thicker than its counterpart; 4) small myometrial echogenic cysts; 4) small myometrial echogenic cysts; 5) striated projections extending from the endometrium into the myometrium; 6) ill-defined endometrial echo
What is indication for history-indicated cerclage?
placed at 13-14 wks gestation and is appropriate in a patient with a clear history of cervical insufficiency (painless cervical dilation in the mid-second trimester)
What is indication for physical exam-indicated cerclage?
Painless cervical dilation in the mid-second trimester (1-4cm), she is a candidate for a physical examination indicated cerclage. This is not restricted to women with a history of a prior preterm birth. Evidence in this situation is extremely limited and is based on only one small randomized controlled study and retrospective studies. Thus, this is a “rescue” cerclage in hopes of prolonging the pregnancy. These limited studies suggest that the patient gains, on average, 4 weeks of gestation with a physical exam indicated cerclage
What is an ultrasound-indicated Cerclage?
Patient has cerclage placed because of a shortened cervical length discovered on TVUS. Only patients with a prior preterm delivery at <34 wks and a cervical length <25mm found on ultrasonography between 16-24wks are candidates for an ultrasound indicated cerclage
In DIC what blood levels are elevated? what decreased?
DIC:
Elevated: aPTT, PTT, PT, D-dimer
Decreased: Platelets, Plasma Fibrinogen, Factor V, Factor VIII
After initial treatment with good hygiene, weight loss, and warm compresses, what medications could be offerred to someone with recurrent Hidradenitits suppurativa?
Topical Clindamycin or Oral Tetracycline
How do you diagnose Metabolic Syndrome in Women?
Any 3 of 5 traits:
1) Abdominal Obesity, defined as waist circumference >35 in (88cm)
2) Serum Triglycerides >150/drug treatment for elevated Triglycerides
3) Serum HDL <50 or on treatment for low HDL
4) Blood Pressure >130/85 or on treatment
5) Fasting plasma glucose >100 or on treatment
What is estimated average blood flow to uterus at term ?
500cc/min
