Summary

This document appears to be medical notes, possibly from a student or physician's review, on various topics related to pregnancy, including diabetes screening, lipid studies, and antepartum intrauterine fetal demise. It also details symptoms and treatments for various conditions.

Full Transcript

Form8Reviews Diabetes screening is at 24 28 wks unless concerning symptoms present earlier Lipid studies are not recommended during pregnancy During 1ˢᵗ visit screening for geneticstuff like these should b...

Form8Reviews Diabetes screening is at 24 28 wks unless concerning symptoms present earlier Lipid studies are not recommended during pregnancy During 1ˢᵗ visit screening for geneticstuff like these should be done L Isis Antepartum intrauterine fetal demise presents i.FI Sachs as fetal movement 6 lack of heart tones dx for this is with US whichnglshoua.tn tal Menopause starts usually at 50 but if pt has amenorrhea it's best to get pregnancy test check with β hCG Young pt with heavy bleeding suspicion of having immature hypothalamic pituitary ovarian axis should get OCP's to stabilize axis Variable decels in HR of at least 15 bpm that last 15 are abrupt sees but last less than 2 mins they willhave no relation to timing of uterine contractions Light vaginal bleeding can occur early in pregnancy IVC filters are only used if pt with DVT has a contraindication to anticoag Rho D immune globulin effects only last 12 wks so pt could need another dose at 28 wks if they got it at 16wks or less Ruptured ovarian cyst tx supportive Previous Antepartum intrauterine fetal demise presentation in pt should prompt check for risk factors like diabetes with measurement of pt's fasting serum glucose concentration Placental Abruption only occurs after 20 wks gestation Vitamin A intake during pregnancy is teratogenic Vaginal delivery after horizontal e section in history is okay Vertical c section history means no vaginal delivery in future Hydatiform mole presents as 1ˢᵗ trimester bleeding with n u also has bilat ovarian theca lutein cysts Corpus luteum cyst are tx with observation b supportive therapy Chronic endometritis will show plasma cells in the endometrium Vulvar hematomas are caused by injury to pudendal artery Folic acid deficiency is more likely in pregnant pts Paget disease of breast needs a biopsy Lochia rubra serosa alba

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