Obstetrics Flashcards
Tuboovarian abscess treatment? threshold for surgery?
abx first/>8 cm do CT guided drainage
when does HELLP occur?
always after 20 weeks, mostly in the 28-36 week
tx for HELLP?
if >34 weeks deliver
if <34 wks give steroids and deliver
differentiate TTP and HELLP in pregnancy?
TTP earlier and more renal failure
HELLP with more HTN
AFLP presentation?
liver failure with hypoglycemia and coagulopathy, third trimester
inherited defect in AFLP?
mitochondrial beta oxidation of fatty acids
preeclampsia timing?
> 20 weeks
criteria for preeclampsia?
new HTN plus proteinuria or end organ dysfunction
tx for preeclampsia?
if <33 weeks give steroids and deliver if high risk features
tx of PHTN and rV failure in pregnancyu?
epoprostenol
tx of PHTN without RV failure in pregnancy?
can use PDE inhibitors, considered safe
firs trimester thionamide for thyroid storm?
PTU
after first trimester thionamide?
methimazole
other thryoid storm gems in pregnancy?
no prolonged BB use
what time frame to do emergency c section in cardiac arrest?
within 5 minutes
signs of uterine rupture?
decline in fetal heart rate, abdominal pain and vaginal bleeding, loss of fetal station on examination
treatment of intrahepatic cholestasis of pregnancy
?
ursodeoxucholic acid
how to treat hypermagnasemia?
calcium
tx of severe preeclampsia?
fluids, BP mgmt, magnseium for seizure prophylaxis
tx for uterine atony causing massive bleeding?
uterine massage, oxytocin, prostaglandin, intrauterine balloon, TXA
placenta previa timing? sx?
third trimester, painless vaginal bleeding
tx of acute heart failure in PPCM?
nitrates, hydralazine, digoxin, heparin
avoid ACE and BB
tocolytic pulmonary edema?
stict hypoxic pulm edema without raised pressures after attempts to delay delivery
impaired milk production post partum?
sheehan syndrome, pituitary ischemia
