OBGYN7 Flashcards
(25 cards)
Chorioamnionitis risk?
PROM PRROM Prolonged labor Intrauterine devices R.V. examination Presence of genital tract pathogen
Diagnosis?
Maternal fever + >= 1 of the following
Fetal tachycardia
Maternal leukocytosis
Purulent discharge
management?
broad based antibiotic
immediate delivery
complication?
PPH Endometritis Preterm birth pneumonia encephalopathy
Primary ovarian insufficiency symptoms?
Amenorrhea ate age <40
Hypoestrogen symptoms
Increase FSH
Decrease estrogen
Risk factors?
Turner Fragile X Galactosemia Autoimmune oophoritis Chemotherapy Pelvic radiation
Management?
estrogen therapy(with progesterone if the uterus is there)
cause of the absence of bleeding after progesterone withdrawal?
Anatomic–Asherman
Physiologic-low estrogen state(POI)
S/E of copper-containing IUCD?
bleeding
permanent contraceptive?
Vasectomy
Bilateral tubal ligation
Perennial tear 1st degree?
perennial skin and mucosa
Perennial tear 2nd degree?
bulbocavarnous muscle
perinial body
Perennial tear 3rd degree?
external anal sphincter
Perennial tear 4th degree?
rectal mucosa
which one is severe?
2nd and 3rd–Lead to fecal incontinence
The high-risk factor for preeclampsia?
previous preeclampsia MG DM CKD Chronic HTN Autoimmune disease
Prevention on this patient?
low dose aspirin, start from 12-28 wk until delivery
Short cervix(inefficiency)length?
<2.5
intimate partner violence screening?
should be performed in any women in the reproductive age group.
Why?
High prevalence but low reporting(disclosure)
what do you ask?
Did you feel safe in a relationship then specific(like did you ever beaten...)
What did you do if they say yes/
immediate safety and additional resource(shelter0
urethral diverticulum defn?
outpouching of the urethra to surrounding tissue.
CM?
Dysuria Dyspareunia post-void dribbling Recurent UTI anterior vaginal mass