OBGYN11 Flashcards
(16 cards)
When we need botulinum toxin in erbs Duchene?
If develop contracture
80% respond spontaneously within 3 month(observation)
For whom we give Influenza, PCV, and meningococcus)during PX?
Unvaccinated
Sickle cell anemia
Splenectomy
HIV
Hepatitis B and A?
For underlining liver injury
Varicela Imunoglobuline?
For those who exposed to varicella but Have no immunity?
Varicella complication?
Maternal(pnumonia,meningitis and encephalitis)
Fetal(Cataract,chorioretinitis and cicatricial alopesia)
Is high-risk STI screening done for?
Patient at high risk of STI
Done in first and third TM
High risk?
Age <25
Prior STI
High-risk sexual activity
What we screen?
HIV syphilis HBV Gonorrhea Chlamydia
Adjustment disorder diagnosis in PX?
within 3-month postpartum
Unmeet to the diagnosis of other mental illness
when we give estrogen-only pills/patches in menopause?
Sever symptom(hot flash)
No C/I for HRL
NO uterus
when we give HRT(estrogen &progestrone) in menopause?
Sever symptom(hot flash)
No C/I for HRL
Have uterus
when we give clonidine or gabapentine?
Sever symptom(hot flash)
C/I for HRL
SSRI not work
Pathophysiology of ovarian hyperstimulation syndrome?
Occur in ovulation induction
Increase HCG–shift fluid to extracellular space by enhancing ovarian vessel fluid permeability.
CM?
Hemoconcentration Ascitis Respiratory distress Hypercoagulability Lukocytosis Volume deplesion Electrolyte imbalance DIC MOF Polycystic ovary mainly in 1-2 week after induction abdominal pain, vomiting, diarrhea
evaluation?
CXR ECG Serial HCG Serial CBC and Electrolyte fluid balance monitoring
Management?
correct EI
para/plurocyntesis
Trombo Embolism prophylaxis
