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Obstetrics > Abnormal delivery > Flashcards

Abnormal delivery Flashcards

1
Q

Duchenne/Erb’s Palsy effects what nerve roots?

A

C5-6

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2
Q

Duchenne/Erb’s Palsy effects what muscles?

A

Deltoid, Infraspinatus, Flexor (all paralyzed

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3
Q

Klumpke palsy effects what nerve roots?

A

C8-T1

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4
Q

Klumpke palsy effects what muscles?

A

Hand muscles

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5
Q

Which is more common duchenn/Erb’s palsy or Klumpke palsy?

A

Duchenne/Erb’s palsy

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6
Q

What percentage of infants with a brachial plexus injury are left with significant residual effects

A

15% (otherwise they resolved)

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7
Q

Risks of vacuum use

A 
Scalp laceration
Cephalohematoma
Subgleal hematoma
Intracranial hemorrhage
Retinal hemorrhage
Hyperbilirubanemia
Clavicular fx
Shoulder dystocia
Injury of cranial nerves 6-7
Erb's palsy
Fetal death
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8
Q

Most common injury associated w use of vacuum

A

Hyperbilirubanemia (due to increased risk of cephalohematoma)

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9
Q

What is the rate of scalp laceration associated w the use of vacuum in delivery?

A

33%

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10
Q

What is the rate of cephalohematoma associated w the use of vacuum in delivery?

A

16%

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11
Q

What is the rate of subgleal hematoma associated w the use of vacuum in delivery?

A

3%

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12
Q

What is the most lethal risk associated with vacuum use during delivery?

A

Subgleal hematoma

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13
Q

What is the rate of cesarean sections in the US?

A

25-27%

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14
Q

What is the most common indication for cesarean section in the US?

A

Repeat CS (9% of all births)

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15
Q

What is the most common indication for primary cesarean section in the US?

A

Dystocia (7% of all births)

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16
Q

What is the third and fourth most common indications for cesarean sections in the US?

A 
#3 = breech at 3% of all births
#4 = fetal well being at 2%
#5 = "other" at 3%
17
Q

Acquired or inherited thrombophilia? SLE

A

Acquired

18
Q

Acquired or inherited thrombophilia? APS

A

Aquired

19
Q

Acquired or inherited thrombophilia? Anticardiolipin

A

Acquired

20
Q

Acquired or inherited thrombophilia? Paroxysmal nocturnal hemoglobinuria

A

Acquired

21
Q

Acquired or inherited thrombophilia? Prothrombin G (20210A)

A

Inherited

22
Q

Acquired or inherited thrombophilia? Protein C/S

A

Inherited

23
Q

Acquired or inherited thrombophilia? Antithrombin 3

A

Inherited

24
Q

Acquired or inherited thrombophilia? Hyperhomocysteinemia

A

Inherited

25
Q

Acquired or inherited thrombophilia? Factor V Leiden (homo and heterozygous)

A

Inherited

26
Q

Word association - Blueberry muffin

A

Cytomegalovirus infected baby

27
Q

Word association - Lemon sign

A

Sides of forehead pulled in 2/2 pull of cisternia magna from spina bifida that distorts the intracranial contents

28
Q

Word association - Strawberry cervix

A

Infection of the cervix by trichomonas

29
Q

Word association - Banana sign

A

Arnold chiari malformation (cerebellar vernus, fourth ventricle, medular oblongata, hydrocephalus)

Usually indicating herniation through cisternia magna

30
Q

Word association - currant jelly stools

A

Intussusception of the bowels

31
Q

Cerebral palsy is associated with

A

Low APGAR scores (0-3 at 10min)

Low birth wt (500-1500g)

Hypoxia (pH <7)

Chorioamnionitis

Periventricular leukomalacia

32
Q

1 Gray (Gy) = ____ mGy

A

1,000

33
Q

1 Gray = ____ Rads

A

100

34
Q

1 Rad = ____ Gy (Grey)

A

.01

35
Q

1 Rad = __mGy

A

10

36
Q

1 mGy = ___ Rad

A

0.1

37
Q

1 mGy = __ Gy

A

.001

38
Q

Radiation values in order

A

Gray > Rad > mGy

Obstetrics (13 decks)

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