fever, uterine tenderness postpartum, foul-smelling lochia. Dx? RF?
endometritis. RF = prolonged ROM/labor, operative delivery
management of SAB
check VS and hemoglobin -> D&C if unstable
modifiable risk for osteoporosis
excess alcohol
trisomy workup
suspicion based on serum -> confirm dates first w/ US
suspicion based on NT -> proceed to CVS (10-13wks) or amnio (after 15wks)
pseudocyesis
psych pregnancy
gross proteinuria + RBC casts + ANA
SLE glomerulonephritis (not pre-eclampsia)
placenta abruptio mgmt
stable -> allow vaginal delivery
unstable/nonreassuring/not in labor -> c/s
gestational maternal virilization + virilization of XX fetuses, normal internal genitalia. Elevated testos, undetectable estrogen
aromatase def
mgmt of variable decels
cord compression -> lateral position + oxygen + discontinue uterotonic drugs
PCOS tx
OCP + metformin (if 2hr glucose >140)
normal contraction stress test ->
antepartum fetal testing in 1 wk (don’t need BPP)
4 options of antepartum fetal surveillance
- NST: want 2 or > accelerations in 20-40min -> if normal then weekly testing antepartum
- BPP: (US + AFV + breathing + mvmt + tone) want 8 or 10, equivocal if 6 and abnormal if 4 or < or oligohydramnios
- CST: want no late or recurrent variable decels
- ubmilical artery doppler: want high velocity diastolic flow; abnormal is decreased/absent/reversed end-diastolic flow
dx fo GDM
GLT > 140
GTT: F>95, 1h>180, 2h>155, 3hr>140
intolerance to PO i/s/o PID ->
IV cefotetan + doxycycline
vaginismus
kegel (to relax) + gradual dilatation
galactorrhea workup
pregnancy test, TSH/PRL, pituitary MRI
acute unilateral midcycle adnexal pain w/ benign hx and clinical exam
Mitttelschmerz
Evaluation of primary amenorrhea that started w/ PUS
+uterus -> FSH ->
- increased = karyotyping
- decreased = cranial MRI
- uterus -> karyotype and testosterone ->
1. 46XX + low testosterone = abnormal Mullerian
2. 46XY + high testosterone = androgen insensitivity syndrome
first step in mgmt of a patient p/w menopausal sx
TSH and FSH
Postterm complications for baby
oligo meconium aspiration still birth macrosomia convulsion
postterm complications for mommy
c/s
infection
hemorrhage
perineal trauma
low platelets
HELLP or DIC
phase? profuse cervical mucus, basic pH
ovulatory
latent phase of labor vs. active phase of labor
6cm dilation
