Ob/Gyn

Question 1

protraction vs arrest of active labor

Answer 1

protraction: cervical change slower than expected w/ or w/o inadequate contractions; tx=oxytocin
arrest: no cervical change for 4+ hrs with adequate contractions OR no cervical change for 6+ hours with inadequate contractions; tx=c/s

Question 2

tubo-ovarian abscess

Answer 2

complication of PID

fever, abdominal pain, and complex multiloculated adnexal mass w/ thick walls and internal debris

elev CA-125, WBC, CRP

Question 3

why is hypotension a common side effect of epidural anesthesia?

Answer 3

sympathetic blockade –> venous pooling and redistribution of blood to LE