Flashcards in Final revision Deck (33)
Main risk factors for developing type 2 diabetes after gestational diabetes
-use of insulin during pregnancy
-fasting glucose levels from OGTT in pregnancy
-impaired glucose tolerance postpartum
If you have type 1/2 diabetes, you should receive an anomaly scan when?
Glucose levels to confirm GD
-2 hours: >8.5
Target glucose levels for GD
-1 hour post prandial:
Which illegal drug is defos associated with preterm birth
Infections which could cause poor fetal growth
How can you assess fetal growth?
What are accelerations?
An increase in fetal heart rate at the start of a uterine contraction returning to the baseline rate before or sometimes after the contraction
-indicates good reflex reactivity of the fetal circulation
What is loss of baseline variability?
Baseline fetal heart rate/variability of less than 5 beats per minute
What are late decelerations?
Decelerations where the lowest point is past the peak of the contraction
-often associated with asphyxia
What does the biophysical profile look at?
Ultrasound to asses:
Score out of 10:
Gram negative STI
Post coital or intermenstrual bleeding
Lower abdominal pain
Chlamydia (female presentation)
Chlamydia (male presentation)
How could chlamydia present in neonates?
Typically affects younger males:
Which STI could result in reiter's syndrome?
Which STI could result in Fitz-Hugh-Curtis syndrome?
When do you test for chlamydia?
2 weeks after exposure
Either Azithromycin 1g once, or doxycycline for a week
Gram negative intracellular diplococcus
Primary sites of infection are the mucous membranes of the urethra, endocervix, rectum, and pharynx
Incubation period for gonorrhoea
Asymptomatic - ≤10%
Urethral discharge – >80%
Pharyngeal/rectal infections – mostly asymptomatic
Gonorrhoea presentation (males)
Asymptomatic (up to 50%)
Increased/altered vaginal discharge (40%)
Pelvic pain (
Gonorrhoea presentation (females)
-give azithromycin as well regardless of chlamydia result
-TEST OF CURE IN ALL PATIENTS
This is the most highly infectious lesion in syphilia
Condylomata lata (secondary syphilis)
How can you look to see if syphilis has relapsed? (clue RPR)
RPR increased by 4 fold suggests relapse (RPR looks for antibodies)
Dark microscopy and PCR are used to look at which STI?