Obgyn job

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  • Publicado : 29 de septiembre de 2010
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02/02/07 - 08:48 PM     |   #1 |

EARLY Congenital Syphilis:
*Non-immune hydrops
*Macerated skin
*Thrombocytopenia

LATE Congenital Syph:
*Hutchinson teeth
*Mulberry molars
*Saber shins
---ALSO:
Saddle nose
VIIIth nerve dearness

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DrVirgo
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Posts: 3,51502/02/07 - 08:50 PM     |   #2 |

Abruptio Placenta Triad:
*MCC of Late trimester PAINFUL bleeding
*Normal placental implantation
*DIC

Edited by DrVirgo on 02/04/07 - 05:46 PM

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DrVirgo
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02/02/07 - 08:52 PM     |   #3 |

Placenta PreviaTriad:
*Late Trimester bleeding
*Low Segment placental implantation
*NO PAIN

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DrVirgo
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02/02/07 - 08:53 PM     |   #4 |

Vasa Previa Triad:
*ROM
*Vaginal bleeding
*Fetal bradycardia

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DrVirgo
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02/02/07 - 08:54 PM     |   #5 |

Uterine Rupture Triad:
*Late Trimester Bleeding
*Loss of Fetal Heart tracing
*Inability to identify uterine contractions

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DrVirgo
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02/02/07 - 09:04 PM     |   #6 |

Triads of Abortion

THREATENED ABORTION:
*1st trimester bleed
*Sono: Norm. pregnancy
*Internal os CLOSED
---Management: conservative

MISSED ABORTION
*1st trimester bleed
*Sono: NON-viable pregnancy
*Internal os CLOSED
---Manage: D&C and conservative

INEVITABLE ABORTION
*1st trimester bleed
*NO POC passed vaginally*Internal os DILATED
---Manage: EMERGENCY D&C

INCOMPLETE ABORTION
*1st trimester bleed
*Retained POC, but SOME POC PASSED
*Internal os DILATED
---Manage: EMERGENCY D&C

COMPLETE ABORTION
*1st trimester bleed
*NO POC RETAINED
*Internal os CLOSED
(Note: cervical os closes after all POC are expelled)
--->Thanks again to Aashi for correcting this one.
---Manage: Observe andserial B-hCG

Edited by DrVirgo on 02/04/07 - 05:46 PM

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DrVirgo
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02/02/07 - 09:07 PM     |   #7 |

Diagnosis of PROM

*Post. fornix pooling -clear watery amniotic fluid
*Fluid is nitrazine positive -turns pH sensitive paper blue
*Glass slidedrying shows fern positive -ferning pattern when allowed to dry

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DrVirgo
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02/02/07 - 09:08 PM     |   #8 |

Chorioamnionitis

*Maternal fever
*Uterine tenderness
*PROM in the absence of URI or UTI

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DrVirgo
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02/02/07 - 09:14 PM     |   #9 |

PRETERM LABOR TRIAD

*20-36 week prego.
*> 3 UC's in 3 min
*Dilated 2 or more cm or changing

Premature contractions
IF:
*20-36 week prego.
*> 3 UC's in 3 min
***Dilated LESS THAN 2 cm or NOT changing

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DrVirgo
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02/02/07 - 09:18 PM     |   #10 |

Mg Toxicity Triad
* Disappearence of DTR( pateller reflex diminshed is the first sign at levels < or = to 10meq/l of Mg) and muscle weakness
*Pulmonary edema
*Resp depression at levels > 10 meq/l and resp.arrest at levels > 12...
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