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APGO uwise

Number 1 killer of somen Heart disease


hydronephrosis Compression by uterus and R ovarian vein
Braxton hicks Short duration less intense pain
39 weeks early labor no ROM, next step? Physical can
No milk let down, slow mentation, wt gain, Sheehans syndrome
fatigue, cant stay warm, hypotension,
amenorrhea
MC karyotype for spontaneous abortion Trisomy
Asthma worsens with pregnancy, tx? Corticosteroids
Graded compression ultrasonography Dx of appendicitis in pregnant women
What lab indicates severity of RH disease of Bilirubin
newborn?
High AFP Check twins
Stages of greif Denial anger bargaining depression acceptance
Complication of VBAC UTERINE RUPTURE
Premature constriction of ducturss arteriousus Indomethiasis after 32 weeks
ROM + tender fundus Chorioamnionitis
Cause of fever you wouldnt think of Breast engorgement on day 2 or three
Indication for progesterone only DVT hx
Fever bleeding dilated cervix 8 weeks Septic abortion
Pubocervical facia repair Cystocele
Simple cyst, hx of endometriosis Hemmoragic cyst, repeat ultrasound in 2 months
Postmenopausal bleeding w/ hx of ovaran cancer Transvaginal ultrasound (more sensitive than CT)
TYPE OF leyoma causes of miscarrages Submucosal
Endometrial cancer Mc SYMPTOM ABNORMAL VAGINAL BLEEDING, POST MENOPA
Boggy uterus Adenomyosis (D and C, hysterectomy)
Ca125 Epithelial cancer ovarian
Mammography on pt <30? No, breast too dense do us
Molar pregnancy, next step CXR (mets of trophoblastic dz)
Palapte umbilical cord in vagina C section (vasa previa)
Breast feeding decreases risk of Ovarian cancer
Ambivalence towards baby Post partum depression (not blues)
Obese pt, common complication Hypertension
30CC FETAL BLOOD NEUTRALIZED BY 300MICROGRAMS OF rhoGAM
Twin infant death rate 5x higher than singletons
Cytotec PGE analog (misoprostol) induces labor for
unfavorable cervix at 40 weeks
Dilate cervix Prostaglandins
Smoking Cervical cancer
Most common cause of preterm labor Idiopathic

Tocolytics at 36 weeks Contraindicated


Steroids controversial after 32 weeks
Risk of placenta accrete C sections
Headache photophbia nausea Meningitis d/t epidural, do lumbar puncture
Hysterectomy, dont do this test Papsmear
APGO uwise

Colon cancer screen no fam hx; with fam hx; 50; 40


Folate antagonist Methotrexate; tx of ectopic
Amen, bleeding, ab pain, tachycardic Ruptured ectopic
First depo provera Bleeding at the beginning, norma
Missed abortion tx Misoprostol prost E1 (expulsion of products)
Recurrent preg lause, hx of thrombosis Dx: antiphosphlipid, tx: asprin + heparin
Tx of vulvular pain (pain with sex, tampons etc) TCA
White plaques and red errosions on vulvula, wrist Leichen planus
and mouth (skin, scalp, nails, mouth)
Leichen sclerosis White patch only on vagina
Burning irritation followed by geneital lesions Herpes simplex
Hx of ehlers danlos Pelvic organ prolapse (FAM HX)
Uterosacral nodularity Endometriosis (lazer ablation if young)
Urgency frequency pelvic pain, nocturia Interstitial cystitis
54 104 lbs amenorrea Hypothalamic pituitary problem (aneoxrexia
nervos)
Hx of diabetes, and acanthosis ni, next step? Fasting insulin (PCOS)
ANOVULATION, HYPERANDROGEN, POLYCISTIC Pcos
OVARIES
STRETCH MARKS ON ABDOMEN Cushings
Fibroids, next step? Endo bx to r/o endometrial carcinoma
Contraindication to hormone replacement Vaginal bleeding (endo cancer)
Principle symptom of endo cancer Vaginal bleeding
Pt w/ previous fracture Immediate bisphosphonates
Why does exercise help PMS ENDORPHINS
Elevated firm irregular vulvular lesion BOPSY
Pap normal but white plaque on PE Colposcopy biopsy (paps can have false
positives)
Tx of fibroid gnRH agonist
SE of tamoxifen Endometril cancer; biopsy only if vaginal bleeding
Best test to evaluate pelvic mass CT scan
Known ovarian cancer, test for reoccurance Pet scan
Suspected ovarian cancer test Ct scan
Risk of endometritis Prolonged labor
Endometritis Most common cause of postpartum fever
Thin endometrial stripe Rules out intrauterine pregnancy must be
ectopic
High bhcg but nothing on ultrasound Ectopic pregnancy
Bhcg leve at which you can see baby on 2000
ultrasound
Pain w/ percussion of back Pyelonephritis (septic shock)
Most common cause of sepsis in pregnancy Pyelonephritis
Fam hx of diabetes, fat, Screen NOW w/ 50g oral glucose
Pregnant, depressed, drug contraindicated Paroxetine (fetal cardiac malformations pul htn)
Dead baby at 34 weeks, no preterm care Diabetes caused it probably
Arrest of dilation Amniotomy - oxytocin
APGO uwise

How to give fibrinogen Fresh frozen plazma


4 c sections, risk of? Accrete
Cause of cord compression (and decels) PPROM CORD COMP DECEL
TENDER FUNDUS Chorio deliver
b-lynch suture Unresponsive uterine atony
Placental sulfatase def Post term pregnancy
Fatty tissue during D and C after missed abortion Stop, do laparotomy (omental tissue from bowel)
What is preformed earler cvs or amniocentesis CVS
What contraception decreases risk of Combined OCP
endometrial cancer
Oichen simplex chronicus Itchy at night, skin markins only from itching
Infection of fallopian tubes Salpingitis
PID aka Salpingitis
Closure of the vagina to tx vaginal prolapse Colpocleisis
Ovarian torsion, next step Surgical exploration
Complications of hysterectomy Adhesive disease, chronic pain
Complications of mullarian agenesis Renal anomalies, do renal US
BLIND POUCH VAGINA MULLERIAN AGENESIS
Tx of hirsutisim Spirolactone
Tx of endometriosis Anazol (wrsens hirsutism and acne)
Second line tx of hirsutism Provera nd Lupron
Confirm endometriosis w/ Laproscopy
Menstrual pain refractive to depo provera Probably endometriosis, do laproscopy
Tx of painful menstrual cramps Ibuprofen and OCP
Mass in Bartholin gland Biopsy
Tx of fibroid Myomectomy
Fam hx of endometrial ca, but no symptoms Annual exams, no good test.
Test for brca in AFFECTED individuals (pt mom if she has breast
cancer)