Document Details

SharperPegasus2454

Uploaded by SharperPegasus2454

UMMC

Tags

obstetrics gynecology medical notes patient review

Summary

This document contains a review of various medical conditions and treatments, including obstetrics and gynecology cases. Notes on different procedures and medications are shown.

Full Transcript

Form 7 Review OCP's contraindicat pt 35bsmke 15 cigs daily AND also pts with cardio risks like HTN Administration of Rho D immune globin is done at 28wks gestation in Rh mothers Also give it to R...

Form 7 Review OCP's contraindicat pt 35bsmke 15 cigs daily AND also pts with cardio risks like HTN Administration of Rho D immune globin is done at 28wks gestation in Rh mothers Also give it to Rh mothers who have Bh newborns any invasive procedures and episodes of fetomaternal bleeding If pregnant woman has already tested positive for Group B strep early in her pregnancy then she doesn't need a re test at 36 38 wks she will just get abx at delivery Pregnant pt's that have GBS test at any point in pregnancy they will then need abx therapy during labor Endometriosis asse with dyschezia dysmenorrhea 6 dyspareunia dx withlaparoscopy Breast cancer is most common non derm malignancy in women metastasizes to bone brain liver 6 lungs Urinary leakage that is worse with standing is key for Vesicoraginal fistula typically a consequence of gynecologic surgery Chancroid painful 6 usually a single lesion inguinal lymphadenopathy present Lymphogranuloma venereum painless genital ulcers severe inguinal lymphadenopathy present Atelectasis is a common cause of Post op fever 2 days afterwards In premature ovarian failure the 1ˢᵗ step would be to measure FSH Inactivated influenza vaccine can be given to pregnant pt should be given prior to influenza season Hydrosalpinx is a condition where both fallopian tubes are blocked 6 filled with fluid Pelvic Inflam Disease can lead to immune response which can scan tubules leading to infertility Free Ta thyroxine is what should be measured in pt with Graves disea Protraction 6 Arrest of Active labor are both in Active phase of labor Protraction is essentially slow cervical change tx oxytocin Arrest is basically NO cervical change tx C section Urinalysis is needed if suspected UTI or pyelonephritis Oral glucose tolerance test is btw 24 28 wks commonly unless pt has some risk factor like diabetes For uncomplicated every 4 wks until pregnancies prenatal visits are rec 28wks 6 every 2 wks from 28 36W 6 then every wk until delive Endometrial cancer can be caused by menstrual history that includes unopposed estrogen exposure Galactoceles can present as a fluctuant tender mass that will self resol in lactating women Fibrinogen breaks down to Fibrin DIC will have coagulation factors so best to prevent by giving FFP which has coagfactors Preterm Labor t Tocolytics i 1 11 if GBS III Penicillin titi erst or ITEIlin if GBS or unknown or unknown unknown Pts with invasive lesions from cervical cancer should get hysterectomy PTU can cross placenta b cause fetal goiter cause polyhydraminos from esophageal compression Placenta previa tx of an initial bleed involves giving IV fluids 6 observation POOS will have LH more so than FSH REMEMBERTHIS

Use Quizgecko on...
Browser
Browser