Ob_Gyn.txt

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Author:
belgarion2210
ID:
94830
Filename:
Ob_Gyn.txt
Updated:
2011-07-22 01:20:54
Tags:
obstetrics gynecology
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Description:
obstetrics and gynecology
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  1. birth defect for

    Lithium
    • Ebstein's anomaly
    • single chambered right side of heart
  2. birth defect for

    Carbamazepine, valproate
    neural tube defects
  3. birth defect for

    Retinoic acid
    CNS defects, craniofacial defects, cardiovascular effects
  4. birth defect for

    ACE inhibitor
    renal failure in neonates, renal tubule dysgenesis, decreased skull ossification
  5. birth defect for

    Oral hypoglycemic
    Neonatal hypoglycemia
  6. birth defect for

    Warfarin
    Skeletal and CNS defects
  7. birth defect for

    NSAIDs
    Constriction of ductus arteriosis, necrotizing enterocolitis
  8. triple marker screen
    alpha feto protein (AFP), beta HCG, and estriol
  9. Triple marker screen in Down's syndrome
    AFP
    beta HCG
    estriol

    Plus added - inhibin screen
    • AFP - decreased ---- increased in mult. gest. and neural tube defects
    • beta HCG - Decreased
    • estriol - INCREASED
    • inhibin -- INCREASED
  10. Bishop score

    what is it
    factors
    determines probability of successful induction of labor

    • Dilation
    • Effacement
    • station
    • position
  11. TORCHS

    what are they
    congenital infxns passed to the fetus thru the chorionic villi

    • T – Toxoplasmosis / Toxoplasma gondii
    • O – Other infections (see below)
    • R – Rubella
    • C – Cytomegalovirus
    • H – Herpes simplex virus


    • The "other agents" included under O are
    • Hepatitis B,
    • Coxsackie virus,
    • Syphilis,
    • Varicella-Zoster Virus,
    • HIV
    • Parvovirus B19
  12. Candida sx
    odor
    discharge
    Si/Sx
    microscopy
    Tx
    • odor --- none
    • discharge - cheesy white
    • Si/Sx - Itchy, burning, erythema
    • microscopy- Pseudohyphae more pronounced on KOH
    • Tx - Oral fluconazole
  13. Trichomonas

    odor
    discharge
    Si/Sx
    microscopy
    Tx
    • odor - Rancid
    • discharge - Green, Frothy
    • Si/Sx - severe itching
    • microscopy - motile organisms with flagella
    • Tx - Metronidazole ( also tx partner)
  14. Gardnerella

    odor
    discharge
    Si/Sx
    microscopy
    Tx
    • odor - Fishy on KOH prep
    • discharge - variable
    • Si/Sx - variable to none
    • microscopy - Clue cells (large epithelial cells covered with dozens of small dots)
    • Tx - metronidazole
  15. PID - what is the Empiric Abx Tx
    • Doxycycline
    • Ceftriaxone
    • Cefoxitin
  16. Toxic Shock Syndrome Tx
    Clindamycin OR Oxacillin

    vanco for mrsa
  17. Abnormal Uterine Bleeding

    How long
    How long in between
    How much
    • >7 days long
    • <21 days or >35 days in between
    • > 80 ml
  18. Abnormal Uterine Bleeding DDx

    PANAMA CUTIE
    • Pregnancy
    • Anovulation
    • Neoplasm
    • Anatomic
    • Medications
    • Atrophy

    • Coagulation disorder
    • UTI, Uterine prolaps
    • Trauma
    • Infection
    • Endocrine - PCOS, Thyroid

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