w/c 06/05 Flashcards
rf for cord prolapse
multiparity
prematurity
polyhydramnios
twin pregnancy
abnormal lie
mx cord prolapse
call for senior help
place woman on all 4s
push presenting part upwards manually
cat 1 c section
can give tocolytics
if cord outside keep it warm and hydrated
what age are antidiarrhoeals used for gastroenteritis in children
over 5
most common cause of pulmonary hypoplasia
congenital diaphragmatic hernia
paediatric BLS where to check for pulses
brachial and carotid
webbed neck
short stature
pectus excavatum
pulmonary stenosis
noonan syndrome
medication to relieve itching in chickenpox
calamine lotion
ketonuria/weight loss on antiemetics in DKA
admit
premenopausal, large and boggy uterus, menorrhagia, dysmenorrhoea
adenomyosis
incomplete vs complete hyatidiform mole on US
incomplete= foetal parts present
complete= no foetal parts, snowstorm appearance
oxybutynin not given in urge incontinence when and what is given instead
to old people
mirabegron
follicles on US for PCOS diagnosis
12 follicles in one ovary size 2-9mm
if someone is HPV positive and cytology is inadequate what do you do
repeat smear in 3 months
what age does atopic dermatitis present
under 2 years
chlordiazepoxide moa
benzodiazepine
enhances GABA to reduce alcohol withdrawl sx
findings in anorexia (bloods, clinical etc)
most things low
Gs and Cs high: glucose, GH, glands salivary, cortisol, cholesterol, carotinaemia
antipsychotics side effects
akithisia= restlessness
tardive dyskinesia= involuntary movements usually orofacial muscles
acute dystonia= sustained contraction of muscles
parkinsonism= bradykinesia, resting tremor, postural instability, rigidity
maternal labetalol use increases risk of what in foetus
neonatal hypoglycaemia
duloxetine class of medication
SNRI
GAD first line SSRI doesnt work, next step in mx
another SSRI or SNRI
most common ovarian cancer
serous epithelial cell carcinoma
common complication of rubella
arthritis of small joints
common complication of mumps
orchitis
deafness
SSRI discontinuation syndrome sx
diarrhoea
vomitting
GI upset
eczema what is used after topical steroids fail
wet wraps
mental state in puerperal psychosis vs postpartum depression/baby blues
change will be acute not gradual
when should dysmenorrhoea be referred to gynae
when it is secondary
(precedes the period and develops later in life)
primary vs secondary dysmenorrhoea
primary= presents 1-2yrs after menarche, pain starts just before or with period, less concerning mx with NSAIDs 1st line and OCP 2nd line
secondary= presents years after menarche, pain precedes period often by days, mx by referring all to gynaecology
causes of secondary dysmenorrhoea
endometriosis
adenomyosis
PID
fibroids
IUDs
why is COCP not used for the forst 21 days postpartum
risk of clots
medication for acute dystonia after benzo
procyclidine
baby looses >10% birthweight in first week of life mx
refer to breastfeeding clinic
candida discharge pH
<4.5
PHQ-9 score indicating severe depression
> 15
first line mx for non pregnant women with thrush
oral fluconazole
mag sulf in pre eclampsia when
for 24 hrs after delivery
or for 24 hrs after last seizure stops
in the first trimester, second trimester and postpartum iron supplementation is needed when Hb is
1st trimester <110
2nd trimester <105
postpatrum <100
what type of oxybutynin is given for urge incontinence
immediate release
BCG vaccination given to which babies in UK
born in area with high TB
family hx of TB
from high risk region/country for TB
what medication can be given for vasomotor sx of menopause if someone doesnt want HRT
SSRI
DM in pregnancy targets
fasting <5.3
1hr post prandial <7.8
2 hrs post prandial <6.4
NEC diagnostic ix
abdo x ray
whats the most common cause of cardiac arrest in children
respiratory
ie hypoxia from 4hs and ts
pavlik harness vs spica
harness if under 6 months
spica if over 6 months
duodenal atresia causes what type of vomiting
bilious
advice for transgender males with a uterus regarding contraception
dont use oestrogen containing contraceptives as they can affect testosterone therapy
ssris for breastfeeding women
sertraline or paroxetine
if someone has the mirena and wants HRT what do you give them
just oestrogen
the mirena acts as the progesterone component of HRT for 10 yrs
what is microgynon
COCP
how long after birth till you can take COCP
21 days
normal pco2 in asthma attack
life threatening
spuravalvular aortic stenosis congenital condition
williams syndrome
whats seen on echo in ebsteins anomaly
tricuspid valve leaflets attached to right ventricle or septum
POP missed for over 12 hrs with UPSI
take emergency contraception
dyskinetic cerebral palsy areas of brain affected
basal gangla and substantia nigra
outline active management of the third stage of labour
ureterotonic drugs given (oxytocin)
delayed cord clamping (over 1 min after birth but less than 5)
controlled cord traction after evidence of placental separation
TOF components
VSD
right ventricular hypertrophy
pulmonary stenosis (right ventricular tract outflow obstruction)
overriding aorta
hep B screening in pregnancy is offered to
everyone
breastfeeding in hep B
safe
referral for someone presenting with mania
urgently to secondary care
rubella presentation
fever
coryza
cervical adenopathy
erythematous macropapular rash starting on hands and neck and spreads down body
complete breech is the same as
flexed breech
frank breech is the same as
extended breech
naegeles rule
add 9 months and 7 days to day of LMP
if cycle is not 28 days add the no over days over 21 the cycle is to the end result
when are abx given for mastitis
if 12-24hrs of conservative measures dont improve sx
what is tangentiality
wandering from a topic and not returning to it
eg when asked a question they dont answer it and talk about something else
diagnostic test of DMD
genetic analysis
what is a compulsion
a senseless action done to relieve the anxiety of a compulsion
this doesnt have to be a physical action, it can be repeating a phrase/thinking something
when is the heel prick test performed
between the 5th and 9th day of life
when would a child have little to no head lag when being pulled to sit
3 months
previous gestational diabetes what screening is offered
OGTT immediately
alongside OGTT at 24-28 weeks
screening tool for postnatal depression
edinburgh scale
how many hrs after last drink would a patient have seizures vs delirium tremens
seizures= 36 hrs
delirium tremens= 72 hrs
SSRIs for breastfeeding
sertraline or paroxetine
difference between pregnancy induced hypertension and pre existing hypertension
pre existing= before 20 weeks GA there is no pregnancy related hypertension
how to differentiate mania and hypomania
true mania will affect functioning eg work
true mania may have psychotic features
