uworld Flashcards
acute onset of constant RUQ pain in pregnant woman
appendicitis; uterus displaces appendic to RUQ area
Acute respiratory distress syndrome
Included pic
Asherman syndrome
intrauterine adhesions that cause amenorrhea, infertility, abnormal bleeding
BP Meds used in mothers with HTN
S( hydralazine, labetalol, nifedipine) L ( nifedipine, labetalol )
cerclage placed
when cervix < or equal 2.5cm to prevent preterm labor
complications of inadequate weight gain during pregnancy
- fetal growth restriction
- preterm labor
HPV vaccine age
11-26
Given up to 45 years of age
intermitten RUQ pain in pregnant woman cause
symptomatic cholethiasis, MOA: inc estrogen increases cholesterol secretion in the bile, inc progesterone decreases gallbladder motility- powers combined causes gallbladder stones that cannot pass the cystic duct
low dose ASA for pre-ecclampsia prevention is given at?
12-28 weeks, optimally before 16 weeks
Dec28 —— 3 days after Christmas cuz we get fat on xmas
low lose ASA is given for _____to patient with:
preeclampsia prevention for high risk patient: DM, chronic HTN, multiple gestation ( ie twin)
Caused by uterine artery abnormality that causes placental hypoperfusion and mom’s bp elevates to improve perfusion
most common cause for unilateral bloody nipple disharge
intraductal papilloma
most common cause for unilateral green nipple disharge
duct ectasia
Muscle weakness that worsens with movement
myasthenia gravis, increased risk in postpartum
oligohydramnios
AFI less than or equal to 5cm; speculum exam to examine; ROM most common cause
post partum urinary retention cause
-regional anesthesia ,vaginal delivery perineal injury, c-section,
post-partum thyroiditis treatment?
triggered by pregnancyi mmune system attacks thyroid, will see hyperthroid smpotoms, treat with betablocers ( propranolol)
PPROM is when menbranes rupture at?
<37 weeks
Pregnant woman with bilateral enlargement of kidneys should be managed by
nothing, typical pathophysiologic change, where right kidney is larger than left
Preterm labor
regular painful contractions causing cervial change (dilation, effacement) before 37 weeks
preterm labor management
<32 weeks: MgSO4 ( neuroprotection) indomethacin (tocolysis), betamethasone, GBS abx
32-34 weeks: nifedipine, betamethasone, GBS abx
34- 37 weeks, betamethsone for fetal lungs, prepare for delivery, gbs abx
***no tocolysis
Risk factors for PPROM
1) prior PPROM 2) GU infection 3) Antepartum bleeding
Risk factors for shoulder dystocia
big mbaby, mom, conditions that increase baby size ( gestaitonal DM, postterm pregnancy)
Round ligament pain
Lower abdominal area and ipsilateral labia
TPO vs TRH antibodies
TPO elevated with post partum thyroiditis, autoimmune diseasel TRH antibodies stimulate TSH receptor, trigger thyroid hormone release, seen with graves disease
