u world wrong Flashcards
category three tracing are due to ?
severe fetal anemia and is defeined as
absent variability and recurrent late decelarations or brady cardia or sinusoidal pattern
ovarian hyper stimu;ation can produce what kind of cysts
theca luteal cyts
dofference between chronic and preeclamptic and gestational htn
chronic htn is defeicned as bp 140/90 before 20 weeks of gestation
after 20 weeks its defined as gestational htn
and prtein uria plus organ damage is called preeclamptic
gestational diabeties values
fasting >95
1hr > 180
2 hr >155
3 hr> 140
what are the pathogensis for theca luteal cyts
gestatioal trophoblastic disease
multifetal gestaiton and infertility treatment
variable fetal heart rate is due to ?
cord compression
oligohydramnios
cord prolapse
describe engorgement ?
bilateral symmetric fullness, tender and warm
how long after hyditiform mole should the patient be on contraceptions
6 months
bhcg must not rise and should be udnetectable
risk factors for vasa previa ? how to manage ?
placenta previa, ivf, multiple gestattions and succenturiate placental lobe
cesarian
what isi the next step in management if fetal part is not palpable in cervix ?
transvaginal ultrasound
describe clinical features of postdural puncture headsce and how to manag eit
headsce that gets better when supine, neck stiffness, photophobia, hearing loss
trreat with epidural blood aptch
oxytocin can casue what problems in a pregnant patient
can cause hyponatremia –>can lead to seizures
if symtpomts occur stop oxytocin and give hypertonic saline
GBS testing done how and when
rectovaginal culture at 36-38 weeks
also check if ruptured for 18hrs
why is bed rest not advised in pregnance\y
becasue it leads to thromboembolic events and decreased bone density
in what term does pregnancy related cholestasis occur
third trimester
cliniical features of intrahepatic cholestatsis of pregnancy
pruritis
third trimester
no rash
RUQ pain
labs show total bile and transmainases elevated
managment of cholestasis of rpegancny
ursodeoxycholic acid
37 wekks
antihistmaines
clinical features of acute fatty liver of pregnancy
nause vomitingRUQ liver failur
laabs show bili, transminases elevated and thrombocytopenia and DIC
manage by immediate delivery
treatment or management in ectopic preganncy in stable vs unstable patient
stable do methotrexate therapy
unstable do surgical exploration
what is PPROM? risk factors /managmenet
rupture before 37weeks
risk facotores includes prior Pprom infections and antepartum bleeding
management ->if fetal reasruuing then give cortecosteroid sand latency antibiotics (if <34 weeks)
if <34 weeks and non reassuring then deliver
if >34 weeks then deliver in anycase
how to manage fetal demise
greater than 20wekks less than 23 either vaginald elivery or d and E
if greater than 24 then vaginal deliv
maternal coplication of short interpregnancy itnerval
<6-18 months between preganncy can lead to maternal anemia, preterm labonr, low birth weight and PPROM
unsafe practicies in pregnancy
contact sports
high risk falls
scuba diving
hot yoga
causes of oligohydramnios
preeclapmsia - nsaids renal anomalies uteroplacental insuffciency abruptio placenta
do fibroids keep growi in pregnancy
yes it originally grows as preganncy progresses but the blood supply starts getting cut off due to to diversion to fetus this causes degenration of fibroids and acute pain tha resemble contractiosn
what lenggth cervix is an indication for cerclage
3.5cm
what lab values are you lookng fro in hyeperemesis gravidarum
ketonuria
hypochloremic metabolic alkalosis
hypokalemia
hemoconcentration
endometrial hyperplasia
excess estrogen obesity pcos nulliparity early menarche later menaupause tamoxifen
lichen sclerosus
thin white wrinkled vuvlvar skin that leads to pruritis and excoriations
can also have perianal skin invovlvement leading to painful defecation
proliferation of smooth muscle wihtin the myometrium
fibroid (irregular uterine enlargement )
prolifertion of endometrial glands inside the myometrium
adenomyosis
how to differentiate an organ prolapse from urethral diverticulum
in a prolapse valsalva maneuver will cause bulging of the prolapsed organ
indication for hormone replacement
vasomotor symtpoms (hot flashes /night swetas) oligomenorhe sleep dsitrubances dec libido depression cognitive decline vaginla atropy
