-
birth defect for
Lithium
- Ebstein's anomaly
- single chambered right side of heart
-
birth defect for
Carbamazepine, valproate
neural tube defects
-
birth defect for
Retinoic acid
CNS defects, craniofacial defects, cardiovascular effects
-
birth defect for
ACE inhibitor
renal failure in neonates, renal tubule dysgenesis, decreased skull ossification
-
birth defect for
Oral hypoglycemic
Neonatal hypoglycemia
-
birth defect for
Warfarin
Skeletal and CNS defects
-
birth defect for
NSAIDs
Constriction of ductus arteriosis, necrotizing enterocolitis
-
triple marker screen
alpha feto protein (AFP), beta HCG, and estriol
-
Triple marker screen in Down's syndrome
AFP
beta HCG
estriol
Plus added - inhibin screen
- AFP - decreased ---- increased in mult. gest. and neural tube defects
- beta HCG - Decreased
- estriol - INCREASED
- inhibin -- INCREASED
-
Bishop score
what is it
factors
determines probability of successful induction of labor
- Dilation
- Effacement
- station
- position
-
TORCHS
what are they
congenital infxns passed to the fetus thru the chorionic villi
- T – Toxoplasmosis / Toxoplasma gondii
- O – Other infections (see below)
- R – Rubella
- C – Cytomegalovirus
- H – Herpes simplex virus
- The "other agents" included under O are
- Hepatitis B,
- Coxsackie virus,
- Syphilis,
- Varicella-Zoster Virus,
- HIV
- Parvovirus B19
-
Candida sx
odor
discharge
Si/Sx
microscopy
Tx
- odor --- none
- discharge - cheesy white
- Si/Sx - Itchy, burning, erythema
- microscopy- Pseudohyphae more pronounced on KOH
- Tx - Oral fluconazole
-
Trichomonas
odor
discharge
Si/Sx
microscopy
Tx
- odor - Rancid
- discharge - Green, Frothy
- Si/Sx - severe itching
- microscopy - motile organisms with flagella
- Tx - Metronidazole ( also tx partner)
-
Gardnerella
odor
discharge
Si/Sx
microscopy
Tx
- odor - Fishy on KOH prep
- discharge - variable
- Si/Sx - variable to none
- microscopy - Clue cells (large epithelial cells covered with dozens of small dots)
- Tx - metronidazole
-
PID - what is the Empiric Abx Tx
- Doxycycline
- Ceftriaxone
- Cefoxitin
-
Toxic Shock Syndrome Tx
Clindamycin OR Oxacillin
vanco for mrsa
-
Abnormal Uterine Bleeding
How long
How long in between
How much
- >7 days long
- <21 days or >35 days in between
- > 80 ml
-
Abnormal Uterine Bleeding DDx
PANAMA CUTIE
- Pregnancy
- Anovulation
- Neoplasm
- Anatomic
- Medications
- Atrophy
- Coagulation disorder
- UTI, Uterine prolaps
- Trauma
- Infection
- Endocrine - PCOS, Thyroid
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