Term
|
Definition
"Thunder-clap" HA = intesity maximal at onset
"Worst HA of my life" = non-specific
Typically no acute neuro findings or AMS though can occur |
|
|
Term
|
Definition
1. CT head w/o contrast
2. If (-), do LP
LP = RBC (early) or Xanthochromia (up to two weeks)
3. CT Angiography of H&N |
|
|
Term
| W/up for uterine bleeding (non-severe) in first trimester |
|
Definition
1. Rh
2. Serum hCG (trend = doubling q48h)
3. U/S (r/o ectopic pregnancy or retained products of miscarriage)*
*Transvaginal U/S (+) for IUP when hCG > 1500
|
|
|
Term
|
Definition
Termination of pregnancy before 20 weeks
About 1/3 of all pregnancies often 2/2 chromosomal abnormalities |
|
|
Term
|
Definition
| vaginal bleeding in early pregnancy with closed cervix |
|
|
Term
|
Definition
|
|
Term
|
Definition
| os open tissue still partially present in uterus |
|
|
Term
|
Definition
| all tissue expelled from uterus and os closed |
|
|
Term
|
Definition
Criteria (not all required):
1. Adnexal, uterine, or cervical tenderness
2. Purulent vaginal discharge
3. Temp > 101
4. + GCCT
5. Abundant WBCs on saline microscopy of vaginal secretion
6. Elevated CRP or ESR (not commonly used) |
|
|
Term
|
Definition
Ceftriaxone 250mg IM (GC) and Doxy x14d (CT)
*Quinolones no longer recommended for tx of GC
**for cervicitis: Ceftriaxone 250mg IM + Azithromycin |
|
|
Term
|
Definition
1. HTN (>140/90), (Sever = >160/110 or evidence of end-organ damage)
2. Proteinuria
3. Edema (no longer diagnostic criteria) |
|
|
Term
| Eclampsia/Severe Preeclampsia Tx |
|
Definition
1. ABCs/IV/O2/Monitor
2. Mag 2-6 g IV bolus, then 2 g/hr
3. Fetal monitoring
4. OB/Gyn consult
5. Diazepam (refractory seizures)
6. Hydralazine or Labetolol (DBP >110) |
|
|
