Obgyn Key

CHOLELITHIASIS Epidemiology • 10–15% prevalence in adults overall; 1–3% of pregnant women • Risk factors: Preg (impaired gallbladder emptying, increased biliary sludge); ↑ estrogen (gender [ 2× > ], obesity,…

Clinical Manifestations (NEJM 2006;355:1244) • BV: Copious, thin, whitish-gray, fishy-smelling discharge. Less likely pruritus. • Candidiasis: Thick, white, curdy discharge. No odor. + Pruritus, dysuria, vaginal erythema. • Trichomonas: Copious…

Clinical Findings & Exam • Uremia, oliguria/anuria, hematuria • Prerenal: Tachy, dry mucous membranes, orthostatic HoTN • Intrarenal: Pulm hemorrhage, palpable purpura → vasculitis + glomerulonephritis, livedo reticularis → atheroembolic…

Complications • Almost all complications of Preg are more likely w/ multi gestations • Discordance: One twin larger than the other; clinically signif when greater than 20%. Calculate discordance %…

25–34 yo); low socioeconomic status; urban location (JAMA 2001;285:1186). Pathophysiology • HIV RNA virus targets CD4 receptor on T-lymphocytes • Destruction & impairment of CD4 cells → immunodeficiency → OIs…

Spirometry (Am Fam Physician 2004;69(5):1107) • Indicated for dx of pulm dz, follow-up of known dz, preoperative eval of pts w/ known pulm dz or prior to thoracic procedures •…

• Laparoscopic & prolonged gynecologic surgeries usually performed under GA Laparoscopic procedures require complete relaxation of abdominal wall (ie, paralysis) Std anesthesia techniques & precautions apply Many laparoscopic procedures require…

Lichen Sclerosus Epidemiology • Prevalence unk (often asymptomatic, underreported) (Obstet Gynecol Surv 2012;67:55) • Bimodal distribution: Prepubertal & postmenopausal females, w/ a mean age btw the 5th & 6th decade…

• Review of current meds & allergies: Discuss holding NSAIDs, antiplatelet agents, anticoagulant supplements (eg, fish oil); consider bridging long-acting anticoagulants to shorter acting meds (eg, warfarin to heparin) •…

At term, 2000 rad is the threshold & fetal risks same as mat risks. Risk of anomalies, growth restriction, or SAB not increased w/ radiation exposure of <5 rad. True…