Term
|
Definition
Gest age > 28 wks
Maternal death to delivery < 15 mins |
|
|
Term
| Major cause of maternal death in eclampsia |
|
Definition
|
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Term
|
Definition
Doxycycline 100 bid x 7d
or
If pcy: Zithromax 1 grm PO |
|
|
Term
|
Definition
Flagellated pear shape
Foammy grey-green d/c foul smelling
Strawberry red cervix & vagina |
|
|
Term
|
Definition
Non pregnant & 2/3 trimester: Flagyl
1/3 trimester: clotrimazole cream
Must treat partner |
|
|
Term
|
Definition
-toxic
-N/V
-Oral abxs failed x 72 hrs
-R/o TOA
-Pcy
-HIV
- Uncertain Dx
-Young age
-Poor f-up |
|
|
Term
| Causes of delayed post-partum hemorrhage |
|
Definition
|
|
Term
| Predisposing factors for preclampsia |
|
Definition
Primaparity >60%
Primigrav
Large placenta
chronic HTN
Fam Hx of gestational HTN |
|
|
Term
| MC surgical emergency in pregnancy |
|
Definition
|
|
Term
|
Definition
-Low abd pain
- BL adnexal pain
-CMT
-Temp: 38.3
-WBC: >10.5
-D/C
-Elevated ESR-CRP
- (+) U/S, Lap, culdo |
|
|
Term
| Which immunizations are safe in pregnancy? |
|
Definition
| Killed vaccines: tetanus, diphtheria, hep B |
|
|
Term
| Which immunizations are NOT safe in pregnancy? |
|
Definition
| Live attenuated vaccines: MRR, smallpox |
|
|
Term
| MCC of fetal death following blunt trauma |
|
Definition
Placenta abruptio
Si/Sx: vag bleeding (abscent in 20% cases), abd cramps/pain, uterine tenderness/rigid, expanding fundal height, maternal shock, fetal distress
Dx: sono, cardiotocographic monitor most sensitive
*Watch mom x DIC! |
|
|
Term
| Pregnant gals w/UTI's have ____ chance of developing pyelo |
|
Definition
| 20-40% (even if asymptomatic) -> MUST Tx! |
|
|
Term
| Yes or No: All pregnant pyelo get admitted |
|
Definition
|
|
Term
|
Definition
Cephalosporins
Ntrofurantoin
Ampicillin
Sulfa (only 1 & 2nd trimesters) |
|
|
Term
| What causes bacterial vaginosis |
|
Definition
Gardenella
Gardenella is a normal flora 50% pts
Aerobic, gram (-) rod
Vaginosis is an overgrowth w/vaginal anaerobs
May cause PROM & pre-term labor |
|
|
Term
| How is the dx of bacterial vaginosis made? |
|
Definition
Must have 3 of 4:
1. grey/white non-inflammatory d/c
2. fishy odor w/ KOH (amine odor test)
3. Clue cell (epi covered w/bacteria)
4. pH > 4.5 |
|
|
Term
|
Definition
Metronidazole
1st trimester pcy: clindamycin |
|
|
Term
| Maternal risks factors for SIDS |
|
Definition
-<20 y/o
-smoker
-marihuana
-drugs
-short inter-pcy intervals
-poor prenatal care
-low socio-economic status |
|
|
Term
| Cholestatic jaundice in pregnancy |
|
Definition
-Mild jaundice
-Pruritus
-3rd trimester
-Incr. Alk Phosph 7-10 x
-Normal transaminases
-Assoc w/incr. risk of premie w/fetal compromise
-Resolves w/ delivery |
|
|
Term
| Rx Cholestatic jaundice in pregnancy |
|
Definition
|
|
Term
| Complication of chronic HTN in pregnancy |
|
Definition
| •↑risk preeclampsia •abruptio placenta • premie • IUGR • stillbirth |
|
|
Term
| Dx: Cervicitis w/PMN's only on gram stain |
|
Definition
|
|
Term
| Sequel of trichomonas vaginitis |
|
Definition
| •Changes in PAP smear •↑risk of PROM •↑risks of preterm delivery •↑risk of post-partum endometritis |
|
|
Term
| Presentation of placenta previa |
|
Definition
| 3rd trim bleeding -bright red, painless |
|
|
Term
| What to avoid is suspect plcenta previa? |
|
Definition
|
|
Term
|
Definition
| Implantation of placenta over the os |
|
|
Term
| MCC vaginal bleeding in primigravid |
|
Definition
| Threatned abortion:50% miscarriage; 25% premie |
|
|
Term
|
Definition
| ❑Ceftriaxone 125 IM x1 ❑Cefixime 400 PO x1 ❑Cipro 500 PO x1 ❑Ofloxacin 400 PO x1 |
|
|
Term
|
Definition
| •Multiple sex partners •Prev. PID •Adolescence •IUD •Instrumentation •Recent menses •Douching •Smoking |
|
|
Term
| Most accurate Dx test for PID |
|
Definition
|
|
Term
| Characteristics of molar pregnancy |
|
Definition
| •Late 1st, early 2nd trimester vaginal bleeding •Abd pain w/ severs N/V (2ry to ↑↑ hCG levels) •Preeclampsia b/f 24 wks •Passage of grape-like cluster of vesicles •Uterus large for gest age •Anemia |
|
|
Term
|
Definition
| Haemophilus ducrey; Painfull nectrotic chancre, painfull urination, painful inginal lymph node |
|
|
Term
| What is a bubo in Chancroid dz? |
|
Definition
| Spontaneous rupture of swollen lymph node |
|
|
Term
| Quantitative hCG w/ectopic pcy |
|
Definition
| •hCG>6000 + empty uterus on trasabd U/S = ectopic •hCG>1200 + empty uterus on transvaginal U/S = ectopic |
|
|
Term
|
Definition
| Painless genital chancre, inguinal LN (+) |
|
|
Term
| Tx for chronic HTN in pcy (not preeclampsia) |
|
Definition
| ❑Rest ❑Aldomet (methyldopa) ❑βB-atenolol, metoprolol ❑Labetalol ❑Hydralazine |
|
|
Term
|
Definition
| •Hx of PID •Prev ectopic •IUD •Tubal surgery |
|
|
Term
|
Definition
| Severe preeclampsia: Hemolytic anemia, elevated LFT, Low platelets (mild:>100k; mod: 50-100k; severe: <50) |
|
|
Term
|
Definition
| RUQ pain, HA, N/V, jaundice, GIB, hematuria, ↑risk of maternal death, 20% DIC |
|
|
Term
| Warning signs of impending sz in eclampsia |
|
Definition
| HA, visual disturbances, hyperreflexia, abd pain, RUQ pain |
|
|
Term
|
Definition
| G (-), bacilli, lineal or parallel - "school of fish" |
|
|
Term
|
Definition
|
|
Term
| Asthma meds to avoid during pregnancy |
|
Definition
|
|
Term
|
Definition
| Hydralazine: SBP>170; DBP>110 |
|
|
Term
| Leading cause of maternal death on 1st trimester |
|
Definition
| Ectopic pcy: 5-8 wks post LMP |
|
|
Term
|
Definition
|
|
Term
| Si/Sx granuloma inguinale |
|
Definition
Small, painless nodules appear after about 10–40 days of the contact with the bacteria. Later the nodules burst, creating open, fleshy, oozing lesions. The infxn spreads, mutilating the infected tissue. The lesions occur at the region of contact typically found on the shaft of the penis, the labia, or the perianal region. Rarely, the vaginal wall or cervix is the site of the lesion.
[image] |
|
|
Term
|
Definition
| #1 Chlamydia (25-61%) - obligate intracell parasite |
|
|
Term
|
Definition
| • #1: Chalmydia • #2N.Gono (25-50%) •Others: anaerobics, aerobics, genital tract mycoplasm |
|
|
Term
|
Definition
| Gram (-), itracellular, diplococcus |
|
|
Term
|
Definition
| •Wound infxn •UTI •Pneumo •Phlebitis •Endometritis (foul smelling lochia) •Pelvic thrombophlebitis (↑risk for PE) |
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