10/06 and 11/06 Flashcards
(103 cards)
suspected aortic dissection invx
CT chest abdo pelvis
bishop score <= 6
vaginal prostaglandins or oral misoprostol
if prev section or higher risk of hyperstimulation -> mechanical methods eg balloon catheter
bishop score >6
amniotomy and IV oxytocin infusion
expectant mx of an ectopic
1) An unruptured embryo
2) <35mm in size
3) Have no heartbeat
4) Be asymptomatic
5) Have a B-hCG level of <1,000IU/L and declining
when can trial of diet and exercise be offered in GDM
fasting glucose <7
secondary dysmenorrhea mx
refer to gynae
which anticoagulants are contraindicated in preg
NOACs and warfarin -> switch to LMWH
what increases risk of ovarian cancer
more hormone exposure eg early menarche, late meno, nulliparity
RF for placental abruption
A for Abruption previously;
B for Blood pressure (i.e. hypertension or pre-eclampsia);
R for Ruptured membranes, either premature or prolonged;
U for Uterine injury (i.e. trauma to the abdomen);
P for Polyhydramnios;
T for Twins or multiple gestation;
I for Infection in the uterus, especially chorioamnionitis;
O for Older age (i.e. aged over 35 years old);
N for Narcotic use (i.e. cocaine and amphetamines, as well as smoking)
when can hormonal contraception be taken after emergency contraception
levonelle -> straight away
ullipristal -> 5 days (breast feeding also delayed 1 week)
delivery in intrahepatic cholestasis of labour
increased risk of stillbirth so IOL at 37-38 wks
when can IUS/IUD be inserted after birth
within 48 hours or after 4 weeks
chalmydia tx where compliance concern
azithromycin 1g orally single dose then 500mg orally for 2 days
pansytolic murmur
ventricular septal defect
mesenteric ischaemia tx
laparotomy
right sided heart failure
pulmonary stenosis = systolic murmur in 2nd intercostal space left sternal edge
JVP, ankle oedema and hepatomegaly
which statin cannot be prescribed with amlodipine
simvastatin
which statin is better/higher intensity
atorvastatin
what suggests idiopathic parkinsons
asymmetrical symptoms
what needs to be checked before starting azathiprine tx
TPMT activity
which analgesics cause hyperkalaemia
saids
mx of pyloric stenosis (olive shaped mass)
Ramstedt pyloromyotomy
mx of bronchiolitis
supportive
mx of croup
single dose oral dex or pred
