Repro Flashcards
(17 cards)
Pre-Term Labour RF? (10)
Acute Illness Low BMI Polyhydramnios Infection - UTI PROM Multipreg Pre-Eclampsia Smoking APH
Rx for Pre-Term Lab?
Tocolytics - Nifedipine, Atosiban
Corticosteroids
NICU
Vaginal Delivery
Cpl of Pre-Term Labour (Baby)?
Jaundice Intravasc Haemorrhage Resp Distress Syndrome Palsy - Cerebral Infection Visual Impaired Hearing Loss
RF for Pre Eclampsia?
Previous Pre eclampsia FH Preexist Diabetes, Renal, Autoimmune, Hypertension >10 years since last preg first preg Obese >35 BMI Mutipreg Old Age
SS of PET?
Hypertension, Proteinuria Headache, Visual disturbance vomit Abd pain Oliguria Hyper Reflexia + Clonus Oedema
Ix of PET?
Coagulation Test FBC - HELLP Liver Fx Test U+E Urinalysis Renal Fx Test USS
Prevention of PET?
Asprin
Tx for Eclampisa?
IV Mg Sulphate, IV Labetalol and Hydralazine
When is Infertility ix?
> 12/12 without trying for <35
>6/12 without trying fo 35-45
RF for Infertility? (women)
Endometriosis, PID Gonnhorea Chlamydia PCO WL/ Stress Premature Menopause Hyperprolicatinaemia Fibroids Hysterectomy Previous Uterine Defect Cervical Cancer
Rf for Infertility in Males?
Azoospermia (Kleinfilters, Orchitis)
Congenital Bilateral Absent Vas Deferens
CF
Cryptochorcidism
What is the difference between 1ry and 2ndry Infertility?
1ry - never had pregnancy before, 2ndry is they have
Male Hx Questions?
Medical Hx Sx HX Previous fertility Sex Hx Occupation Hx Previous Examination or Rx
Female Hx Questions?
Menstruation Hx Previous Pregnancy Duration Previous Contraception Medical Hx Sx Hx Menarche Sex Hx (Infection) Previous Ix Previous Relations
Ix for Male?
Semen Examination W, H, BMI fat and hair distribution Abd and Ing Ex Genital Ex Hormone: FSH, LH, Testosterone, Kary, PRH, CF
Ix for Female?
W, H, BMI fat and hair distribution Galactorrhoea Acanthasis Nigricans Abd Ex Pelvis Ex
FSH, Mid lutela Progesterone
Rx for Infertility
Clomiphene, IVF, GnRH, Cryopreserve Eggs, Donor, Reverse Steralisation
