uworld dec 30 Flashcards
what is adenomyosis?
the proliferation of endometrial glands within the myometrium
symptoms of adenomyosis?
chronic pelvic pain and heavy menstrual periods
new onset dysmenorrhia
GBs prophylaxis indications?
- GBS status
- GBS bacturia or GBS UTI during pregnancy
- unknown status plus any of the following:
- membranes ruptured for >18 hours
- intrapartum fever
- <37 weeks gestation
what is premenstrual syndrome/premenstrual dysphoric syndrome?
Symptoms that occur during the luteal phase including:
Physical symptoms of: bloating, fatigue, hotflashes, breast tenderness
Affective symptoms: anxiety, irritability, mood swings, decreased interest
evaluation for premenstrual sydnrome?
symptom/menstrual diary
treatment of premenstrual syndrome?
SSRIs
what is the ONLY current indication for HRT?
vasomotor symptoms
is the prevention of osteoporosis an indciation for HRT?
no
what causes intertrigo?
candida albicans
which antibiotics are safe during all trimesters of pregnancy?
penicillins, cephalosporins, and fosfomycin
what are the normal changes in thryoid hormones seen in first trimester pregnancy?
Increased total T4
Unchanged or mildly increased free T4
Decreased TSH
what causes the thyroid hormone changes seen in pregnnacy?
- bchg stimulates thyroid hormone production
- estrogen stimulates TBG production
inhertiance of hemophilia A?
X linked recessive
what causes primary dysmenorrhia?
-increased endometrial prostaglandin production during menses which leads to uterine hypercontractility
Can a patient with a UTI have no nitrates in urinalysis?
yes- nitrate positivity is variable depending on how long theyve had the UTI for
