OBGYN16 Flashcards
(23 cards)
theca luteal cyst?
Multilocular
Bilateral
10-15 CM ovries
Pathogenesis?
Ovarian hyperstimulation
GTD
MG
Infertility treatment
Levonogestril containing IUCD s/e?
Amenorrhea (preferred for patients with anemia)
SSE(headache, breast tenderness and mood change)
Laparoscopy and laparotomy in suspicion of ectopic pregnancy?
Acute hemodynamic instability
If minimal/no Vx bleeding: laparoscopy
If Active Vx bleeding: Laparotomy
Obesity and AUB?
Anovulation(pathophysiologic)--AUB(Long interval b/n bleeding) Endometrial polyp(Common)--AUB(Interministrual bleeding)
Predictive value of NST?
High Negative predictive value–Rule out fetal hypoxia
Low positive predictive value–if positive needs additional BBP or CST?
BBP components?
NST Tone(1) Movement(>3) Breathing(1) AFI index
Interpretation?
6-equivocal
<6–Fetal hypoxia
Abnormal AFI–abnormal
Contraction stress test?
nipple stimulation and oxytosin–3 cntraction/10 min–no LD or RVD
No c/i to vaginal delivery
Umbalical artery diastolic Dopler flow?
When there is onley IUGR
no/decreased/reversed flow.
Painful LNP?
Bubo(LV)chlaymidia
non-alcoholic fatty liver?
Ast/alt<1
obesity/type 2 DM
Indication for core needle biopsy?
complex mass
more suspicious of malignancy
FNAC?
simple cyst in age < 30
Does simple cyst follow -Up?
2-4 month after
Pseudocyesis?
false pregnancy perception
symptom?
first TM symptoms(wt gain,amenorhhea,nausea,breast tenderness)
pathophysiology?
stress affects the HPG axis
risk?
Infertility
previous pregnancy loss
Hydronephrosis risk factors?
Non-radiating back pain
CVAT
ovulation and endometrial hyperplasia?
protective due to increase progesterone
corunal ectopic?
less common
gestational sac visible at cornu
high risk of hemoperitoneum
Unilateral breast mass with bloody nipple discharge?
Intraductal papilloma