Ob/Gyn Risk Factors & Breast Pathologies (PDF)

Ep. 118: Confusing Breast Pathologies Mastitis o Unilateral erythema, tenderness, fever, recent postpartum Abscess o Unilateral painful, fluctuant mass, recent postpartum, fever Engorgement o Bilateral engorgement in recent postpartum F w/fever...

Ep. 118: Confusing Breast Pathologies Mastitis o Unilateral erythema, tenderness, fever, recent postpartum Abscess o Unilateral painful, fluctuant mass, recent postpartum, fever Engorgement o Bilateral engorgement in recent postpartum F w/fever Galactocele o Unilateral could present as tender, fluctuant mass, in breast feeding F, NO FEVER Inflammatory Breast Cancer o Unilateral process in non-postpartum older F (50s +), peau d’orange Ep. 239: Ob/Gyn Risk Factors #1 RF for postpartum depression → hx of depression Most reliable indicator of successful labor induction → Bishop score MCC of infertility → ovulatory dysfunction (PCOS) MC late-onset adverse effect of pelvic radiation → vaginal stenosis #1 RF for uterine sarcoma → pelvic radiation #1 RF for squamous cell carcinoma of vagina → HPV #1 RF for clear cell carcinoma → in-utero exposure to DES o DES results in t-shaped uteruses and 2 trimester losses nd #1 RF for vulvar carcinoma → HPV o Note: If “HPV” is not listed, choose “lichen sclerosus” o NBSIM? Punch bx #1 RF for post-partum endometritis → recent C-section #1 RF for pelvic septic thrombophlebitis → hx of post-partum endometritis #1 Prognostic Factor for breast cancer→ involvement of axillary lymph nodes  What 3 prognostic factors indicate worse outcomes for gestational trophoblastic disease? o Mets to liver or brain o ↑↑↑ b-HCG o More time between pregnancy and gestational trophoblastic disease #1 Prognostic Factor for vulvar cancer → lymph nodes mets then lesion size #1 Prognostic Factor for endometrial cancer → stage MC presenting complaint is vaginal bleeding #1 RF for endometriosis → family history of endometriosis MCC of DIC during pregnancy → placental abruption #1 RF for placenta previa → previous C-section #1 RF for placental abruption → hx of placental abruption or hypertension #1 RF for preterm labor → hx of preterm labor, Ureaplasma or Gardnerella vaginalis #1 RF for cervical incompetence → LEEP or conization #1 intervention prevent: NEC; intraventricular hemorrhage; and NRDS → betamethasone Preventive measure in PPROM to prevent infection → decreasing cervical exam numbers #1 RF for IUGR → hx of IUGR gestations #1 RF for fetal macrosomia → maternal diabetes #1 RF for fetal tachycardia → maternal fever #1 RF for post-partum hemorrhage → uterine atony PDA → premature #1 RF for ectopic pregnancy → hx of ectopic pregnancy  #1 RF for uterine rupture → uterine scar d/t previous C-section #1 RF for breast cancer → increasing age #1 RF for pre-eclampsia → hx of pre-eclampsia #1 RF for uterine inversion → hx of uterine inversion #1 RF for chorioamnionitis → PROM o NBSIM? GBS PPx if > 18h What are 2 RF’s for gestational trophoblastic disease? o Nulliparity o Extremes of age (really young or really old) Indications to administer intrapartum penicillin as GBS PPx? o Child with GBS sepsis regardless of culture o +Urine culture at any point in pregnancy o If unknown status o Woman with ruptured membranes for ≥ 18h o Intrapartum fever Indications to give Rhogam? o At 28 wks o During any procedure o Within 3 days post-partum o During uterine cerclage o During ectopic pregnancy o Pregnant pt involved in MVA o Any other event that can cause maternal-fetal blood mixing Ep. 127: Rapid Review, Series 8 OB/GYN Pt w/CD4 150 cc of vaginal itching. KOH show pseudohyphae → Candida o Risk factors for candida: DM, IC, chronic steroid use, abx use, smoking  o Vaginal pH is