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145 Cards in this Set
- Front
- Back
Web neck
Streak Gonads Primary Amenorrhea |
Turner Sx
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Testicular Atrophy
Azoospermia Gynecomastia |
Klinefelter's Sx
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Mental Retardation
Endocardial Cushion Defects Short Stature |
Down Sx
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Transmission both genders
All generations affected No carrier states |
Autosomal Dominant
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No male-male transmission
Disease expressed only in Males Female Carriers |
X-linked recessive
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Transmission both genders
Skips Generations Male+female carriers |
Autosomal Recessive
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No male-male transmission
Disease expressed only males Female Carriers |
X-linked recessive
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Lack of preconception folate?
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Neural Tube Deffects (NTD)
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Fetal H.R. accelerations
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NST
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Fetal Breathing Movements
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BPP
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Repetivite Late decelarations
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CST
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Within hours of birth
Pnemonia Sepsis |
GBBS sepsis
Group B Beta Strep |
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Chorioretinitis
Intracranial Calcifications Symmetric IUGR (intrauterine growth retardation) |
Congenital Toxoplasmosis
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Zig-zag skin lesions
Micropthlamia Extremity hypoplasia |
Congenital Varicella
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Congenital Deafness
Cong. Heart Disease Cataracts |
Congenital Rubella
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Neonatal "Blueberry muffin rash"
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Cong. Rubella
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Neonatal petechiae
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Congenital CMV
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Painful late trim. bleed
Normal Placenta Implant DIC |
Abruptio Placenta
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Painles late trim. bleed
Lower uterine seg. plac. implantation |
Plancenta Previa
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Membrane rupture
Painless Vag bleed Fetal Bradycardia |
Vasa Previa
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1st trim. bleeding
Sono: normal preg Internal cerv. os: closed |
Threatened abortion
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1st trim. NO bleeding
Sono: nonivable preg. Internal cerv. os: closed |
Missed Abortion
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1st trim. bleeding
No POC passed Internal cerv. os: dilated |
Inevitable Abortion
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1st trim. bleeding
Sono: some POC still in uterus Internal cerv. os: dilated |
Incomplete abortion
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1st trim. bleeding
Sono: no IU debris Internal Cerv. os: dilated |
Complete Abortion
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Twin Pregnancy
2 different genders |
Dizygotics twins
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Twin Pregnancy
Genders unknow or same 2 placentas seen |
Dichorionic twins
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Twin Pregnancy
Genders unknow or same 1 placenta but 2 sacs |
Monochorionic, diamnionic twins
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Twin Pregnancy
Genders unknow or same 1 placenta and 1 sac |
Monochorionic, monoamnionic twins
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Speculum Exam shows fluid pooling
Fluid is nitrazine + Fluid shows ferning on drying on glass side |
Ruptured membranes
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Membranes ruptured
Maternal Fever No URI or UTI |
Chorioamnionitis
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Between 20-36wks
> contractions in 30 min. Cervix dilated > 2cm or change over time |
Preterm Labor
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Tocolysis
Respiratory Depression Muscle Weakness |
Magnesium Toxicity
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Tocolysis
Hypokalemia Hyperglycemia |
Beta agonist side-effects
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Tocolysis
increase pulse decrease BP Myocardial depression |
Calcium ch. blocker S/E
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Tocolysis
Oligohydrmanios IU closure of PDA |
Indomethacin S/E
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Pregnancy >20 wks
Non-sustained HTN NO proteinuria |
Transient HTN
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Pregnancy >20 wks
Sustained HTN >140/90 Prot. >300mg/24 hr urine |
Mild Pre-eclampsia
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Pregnancy >20 wks
Sustained HTN >160/110 Prot. >5g/24 hr urine |
Severe Pre-eclampsia
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Pregnancy >20wks
Sustained HTN >140/90 Any 1 more of following: HD, visual changes, epigastric pain |
Severe pre-eclampsia
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Secondary Amenorrhea
Positive Progesterone Challenge Test |
Anovulation
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Secondary Amenorrhea
Progesterone Challenge Test (neg.-) |
Low Estrogen or outflow tract obstruction
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Secondary Amenorrhea
Estrogen-Progesterone Challenge Test (pos+) |
Low Estrogen
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Secondary Amenorrhea
Estrogen-Progesterone Challenge Test (neg-) |
Outflow Tract Obstruction
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Virilization w/ abdominal mass
Sudden Onset ↑↑ DHEAS |
Adrenal Tumor
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Virilization w/ pelvic mass
Sudden Onset ↑↑ Testosterone |
Ovarian Tumor
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Hirsutism
Gradual Onset Normal DHEAS, Testosterone, 17-OH progesterone ↑ 17-OH Progesterone |
21-OH deficiency
CAH |
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Hirsutism, infertility
Gradual Onset ↑ Testosterone |
PCO Syndrome
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Hirsutism
Gradual Onset Normal DHEAS, Testosterone, 17-OH progesterone |
Idiopathicv
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Primary Infertility
Progesterone Challenge Test (pos+) Thin-Watery Cervical Mucus |
Anovulation
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Primary Infertility
Semen Analysis: Sperm Density 5 million/ml Regular, Predictable menstrual cycles |
Male Factor
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Hot Flushes & Sweating
Age 25 years Serially ↑ FSH levels |
Ovarian Failure, r/o
Y chromosome mosaicism |
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Pregnancy > 20 weeks
Sustained HTN > 140/90 Any 1 or more of following: DIC, Increase liver enzymes, pul edema, oliguria |
Severe preeclampsia
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2 Pregnancy > 20 weeks
Sustained HTN > 140/90 Unexplained convulsions |
Eclampsia
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Pregnancy < 20 weeks
Sustained HTN > 140/90 Proteinura Variable |
Chronic Hypertension
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Chronic HTN
Bp Rising Proteinura worsening |
Chronic HTN with superimposed preeclampsia
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Pregnancy >20 weeks
Liver enzymes increased Hemolysis and low platelets |
HELLP syn
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Pulmonary HTN
Bidirectional intracardiac shunt |
Eisenmenger’s syn
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Autosomal dominant disorder
Connective tissue disorder Aortic root dilated>40mm |
Marfans Syn
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Term Pregnancy
Biventricular cardiac failure Multiparity |
Peripartum Cadiomyopathy
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Decrease TSH , Increased T4, Increased LATS
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Graves disease
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Increased TSH, Decrease T4, Anovulation
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Hypothyroidism
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>20 wks gestation
1hr 50g OGTT > 140 3hr 100g OGTT has 2 abnormal values |
Gestational dm
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Prepregnancy Dm
Increase insulin levels |
Type 2 dm
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Prepregnancy dm
Decreased insulin |
Type 1 dm
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Hgb < 10 g/dl
Mcv<80 Rdw>15 |
Iron def anemia
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Hgb < 10 g/dl
Mcv>100 Rdw>15 |
Folate def anemia
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Hgb<10
Hemoglobin S>40 |
Sickle cell anemia
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No sym
+urine culture No fever |
Asymptomatic bacteriuria
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Urgency frequency
+urine culture No fever |
Acute cystitis
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Term pregnancy in labor
2cm cervical dilation No dilation change for 16hrs |
Prolonged latent phase
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Term pregnancy in labor
8cm cervical dilation Cervical dilation of 2cm over past 4 hours |
Prolonged active phase
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Term pregnancy in labor
8cm cervical dilation No cervical dilation over past 4 hours |
Arrested active phase or arrest of dilation
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Term pregnancy in labor
Completely dilated at +1 station No change in station after pushing for 3 hours |
Arrested 2nd stage or arrest of descent
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Term pregnancy in labor
Amniotomy with fetal head unengaged Sudden onset repetitive sever variable decelerations |
Prolapsed umbilical cord
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Second stage of labor
Fetal head is delivered Body will not deliver |
Shoulder dystocia
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FHR monitoring
Abrupt increase and decrease in FHR above baseline Onset and ending is unrelated to contractions |
FHR accelerations
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FHR monitoring
gradual increase and decrease in FHR below baseline Onset and ending is synchronous in related to contractions |
Early deceleration
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FHR monitoring
Abrupt increase and decrease in FHR below baseline lasting 15- 90 sec Onset and ending is unrelated to contractions |
Variable decelerations
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FHR monitoring
Gradual increase and decrease in FHR below baseline Onset and ending is delayed in relation to contraction |
Early decelerations
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Pregnancy 18-22 weeks
Painless cervical dilation Delivery of previable living fetus |
Incompetent cervix
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Term pregnancy in labor
Local anesthetic injected into cervix for pain relief Sudden onset of fetal bardycardia |
Paracervical block
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Term pregnancy in labor
Conduction anesthesia Is administered One half of the body feels pain and the other doesn’t |
Epidural block
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Postmenopausal bilateral pelvic masses
Postmenopausal bleeding Enlarged Uterus |
Metastatic Ovarian Tumors from Endometrium
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Postmenopausal Pelvic Masses
Weight Gain Without Eating Abdominal Ascites |
Metastatic Ovarian Carcinoma
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Pregnancy at 1 Weeks by Dates
Hypertension and Proteinuria No Fetal Heart Tones Can Be Heard |
Molar Pregnancy
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Pregnancy at 16 Weeks by Dates
Vaginal Bleeding Passage of Vesicles Per Vagina |
Molar Pregnancy
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Postmenopausal Woman
Anterior Vaginal Wall Bulging Urinary Incontinence |
Cystocele
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Postmenopausal Woman
Posterior Vaginal Wall Bulging Digital Finger Necessary To Remove Stool |
Rectocele
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Urinary Incontinence
Urine Loss Only With Coughing & Sneezing No Urine Lost at Night |
Genuine Stress Incontinence
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Urinary Incontinence
Cannot Suppress the Urge to Void Urine Lost Day & Night |
Hypertonic Urge Incontinence
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Urinary Incontinence
Detrusor Muscle Never Contracts Urine Lost Day & Night |
Hypotonic Overflow Incontinence
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Urinary Incontinence
History of Radical Pelvic Surgery or XRT Urine Lost Day & Night |
Fistula or Bypass Incontinence
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Pelvic Pain
Painful Intercourse Painful Bowel Movements |
Endometriosis
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Fixed, Retroverted Uterus
Uterosacral Ligament Nodularity |
Endometriosis
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Amenorrhea
Unilateral Pelvic-Abdominal Pain Vaginal Bleeding |
Ectopic Pregnancy
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Bilateral Lower-Abdominal Pelvic Pain
Mucopurulent Cervical Discharge Cervical Motion Tenderness |
Acute PID
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Bilateral Lower-Abdominal-Pelvic Pain
No Cervical Discharge Cervical Motion Tenderness |
Chronic PID
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Vaginal Discharge
Fishy Odor “Clue Cells” |
Bacterial Vaginosis
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Vaginal Discharge
Itching & Burning “Strawberry Cervix” |
Trichomonas Vaginitis
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Vaginal Discharge
Itching & Burning Pseudohyphae |
Yeast Vaginitis
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Prepubertal Vaginal Bleeding
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Foreign Body
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Precocious Complete Isosexual Puberty
6 year-old girl Abnormal Head MRI scan |
Idiopathic Constitutional
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Precocious Complete Isosexual Puberty
4 year-old Girl Adnormal Head MRI Scan |
CNS Pathology
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Precocious Complete Isosexual Puberty
6 year-old Girl Café au Lait Skin Lesion |
McCune-Albright Syndrome
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Precosious Complete Isosexual Puberty
6 year-old Girl Pelvic Mass |
Granulosa Cell Tumor
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Irregular, Unpredictable Menstrual Bleeding
13 year-old Girl Normal Height & Weight |
Temporary Anovulatory Bleeding
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Irregular, Unpredictable Menstrual Bleeding
33 year-old Woman Obese & Hypertensive |
Chronic Anovulation Bleeding (PCO)
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Normal Predictable Menstrual Bleeding With Bleeding In-Between
33 year-old Woman Normal Height & Weight |
Intrauterine Polyp or Submucus Myoma
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Primary Amenorrhea
Breasts & Uterus Present Normal Height & Weight |
Imperforate Hymen
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Primary Amenorrhea
Breasts Present, Uterus Absent Normal Pubic & Axillary Hair |
Mullerian Agenesis
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Primary Amenorrhea
Breasts Present & Uterus Absent No Pubic or Axillary Hair |
Complete Androgen Insensitivity
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Primary Amenorrhea
Breasts Absent, Uterus Present, Increased FSH |
Gonadal Dysgenesis
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Primary Amenorrhea
Breasts Absent, Uterus Present Decreased FSH |
Hypothalamic-Pituitary Insufficiency
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Primary Amenorrhea
Breasts Absent, Uterus Present Anosmia |
Kallman Syndrome
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Secondary Amenorrhea
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Pregnancy
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Conduction anesthesia is administered
Patient stops breathing and becomes cyanotic Term pregnancy in labor |
Intrathecal injection of local anesthetic
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Postpartum day #1
After SVD of 31 week preterm neonate in NICU Mother shows no interest in the baby and hasn’t named her |
Impaired maternal-infant bonding
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Postpartum day #2
After SVD of term normal neonate Mood swings, tearfulness, cares for baby |
Postpartum blues
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Postpartum day #21
After SVD of term normal neonate Feelings of despair, hopelessness, not caring for baby or self |
Postpartum depression
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Postpartum day #21
After SVD of term normal neonate Bizarre behaviour, hallucinations |
Postpartum Psychosis
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Postpartum bright red vaginal bleeding
Just delivered twins Uterus feels like dough |
Uterine atony
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Postpartum bright red vaginal bleeding
Uncontrolled vaginal delivery Uterus feels firm |
Perineal lacerations
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Postpartum bright red vaginal bleeding
Plancental vessels extend over edge of membranes Uterus feels firm |
Retained placenta from accessory lobe
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Postpartum vaginal bleeding
Abruptio placenta Blood oozing from IV site |
DIC
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Postpartum bright red vaginal bleeding
Beefy bleeding vaginal mass Uterus not palpable |
Uterine inversion
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T 101 F on post partum day #0
S/P caesarean under general anesthesia Mild rales on lung auscultation |
Atelectasis
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T 101 F on post partum day # 1
S/P multiple intrapartum catheteterizations Costovertebral angle tenderness |
Urinary tract infection
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T 101 F on post partum day #3
S/P emergency caesarean section Exquisite uterine tenderness |
Endometritis
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T 101 F on post partum day #3
S/P spontaneous vaginal delivery Breasts bilaterally swollen, red & tender |
Congestive mastitis or engorgement
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T 101 F on post partum day #4
S/P emergency caesarean section Purulent abdominal wound drainage |
Wound infection
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T 101 F on post partum day #5
Spiking fevers in spite of triple antibiotics Normal pelvic exam |
Septic thrombophlebitis
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T 101 F on post partum day #14
S/P spontaneous vaginal delivery One lobe of left breast is swollen, red & tender |
Infectious mastitis
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Postmenopausal vaginal bleeding
Obese Hypertensive |
Endometrial cancer
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Enlarged nontender asymmetrical firm uterus
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Leiomyoma
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Enlarged tender, symmetrical, soft uterus
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Adenomyosis
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Reproductive years pelvic mass
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Pregnancy
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Reproductive years pelvic mass
Negative b-hCG Sono: round, smooth-walled, fluid filled adnexal mass |
Functional ovarian cyst (follicular, corpus luteum cyst)
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Reproductive years pelvic mass
Negative b-hCG Sono: complex adnexal mass with calcifications |
Benign cystic teratoma
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Sudden onset unilateral abdominal-pelvic pain
Negative b-hCG Sono: adnexal mass measuring 12cm diameter |
Ovarian torsion
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Reproductive years solid pelvic mass
Negative b-hCG Elevated levels of LDH |
Dysgerminoma
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Postmenopausal adnexal mass
Positive BRCA-1 |
Ovarian carcinoma
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Postmenopausal adnexal mass
Nulliparous Elevated levels of CA-125 |
Ovarian serous carcinoma (epithelial)
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Postmenopausal adnexal mass
Elevated levels of hCG |
Ovarian chorio-carcinoma (germ cell)
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Postmenopausal adnexal mass
↑ facial hair, clitorimegaly Elevated levels of testosterone |
Ovarian Sertoli-Leydig cell tumor (gonadal-stromal)
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