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Flashcard 1414276713740

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Question

CONTRACEPTION
• Ovulation can occur within 4 to 6 weeks of delivery in women who are not breastfeeding.
• Hormonal preparation are safe in women breastfeeding (secretion in breast milk is minimal).
• Milk production can be affected in the early postpartum period with the use of combined contraceptive pill.
• [...] are safe and can be started within 2 weeks of delivery.
• The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding.
• Depo-Provera 150mg IM can be started after delivery.
• The intrauterine device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks.
• Tubal sterilization can be performed during Caesarean section, immediately postpartum after a vaginal delivery or as an interval procedure.

Answer

Progesterone only pill (POP)/Progesterone only IUD

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
re not breastfeeding. • Hormonal preparation are safe in women breastfeeding (secretion in breast milk is minimal). • Milk production can be affected in the early postpartum period with the use of combined contraceptive pill. • Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within 2 weeks of delivery. • The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding. • D

Flashcard 1414278286604

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#obgyn

Question

CONTRACEPTION
• Ovulation can occur within 4 to 6 weeks of delivery in women who are not breastfeeding.
• Hormonal preparation are safe in women breastfeeding (secretion in breast milk is minimal).
• Milk production can be affected in the early postpartum period with the use of combined contraceptive pill.
• Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within [...] weeks of delivery.
• The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding.
• Depo-Provera 150mg IM can be started after delivery.
• The intrauterine device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks.
• Tubal sterilization can be performed during Caesarean section, immediately postpartum after a vaginal delivery or as an interval procedure.

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
retion in breast milk is minimal). • Milk production can be affected in the early postpartum period with the use of combined contraceptive pill. • Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within 2 weeks of delivery. • The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding. • Depo-Provera 150mg IM can be started a

Flashcard 1414279859468

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#obgyn

Question

CONTRACEPTION
• Ovulation can occur within 4 to 6 weeks of delivery in women who are not breastfeeding.
• Hormonal preparation are safe in women breastfeeding (secretion in breast milk is minimal).
• Milk production can be affected in the early postpartum period with the use of combined contraceptive pill.
• Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within 2 weeks of delivery.
• The [...] can be commenced within 1-2 weeks in women who are not breastfeeding.
• Depo-Provera 150mg IM can be started after delivery.
• The intrauterine device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks.
• Tubal sterilization can be performed during Caesarean section, immediately postpartum after a vaginal delivery or as an interval procedure.

Answer

combined oral contraceptive pill or POP

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
). • Milk production can be affected in the early postpartum period with the use of combined contraceptive pill. • Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within 2 weeks of delivery. • The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding. • Depo-Provera 150mg IM can be started after delivery. • The intrauterine device can be inserted immediat

Flashcard 1414281432332

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#obgyn

Question

CONTRACEPTION
• Ovulation can occur within 4 to 6 weeks of delivery in women who are not breastfeeding.
• Hormonal preparation are safe in women breastfeeding (secretion in breast milk is minimal).
• Milk production can be affected in the early postpartum period with the use of combined contraceptive pill.
• Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within 2 weeks of delivery.
• The combined oral contraceptive pill or POP can be commenced within [...] weeks in women who are not breastfeeding.
• Depo-Provera 150mg IM can be started after delivery.
• The intrauterine device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks.
• Tubal sterilization can be performed during Caesarean section, immediately postpartum after a vaginal delivery or as an interval procedure.

Answer

1-2

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
m period with the use of combined contraceptive pill. • Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within 2 weeks of delivery. • The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding. • Depo-Provera 150mg IM can be started after delivery. • The intrauterine device can be inserted immediately (within 10 minutes) afte

Flashcard 1414283005196

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#obgyn

Question

CONTRACEPTION
• Ovulation can occur within 4 to 6 weeks of delivery in women who are not breastfeeding.
• Hormonal preparation are safe in women breastfeeding (secretion in breast milk is minimal).
• Milk production can be affected in the early postpartum period with the use of combined contraceptive pill.
• Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within 2 weeks of delivery.
• The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding.
• [...] can be started after delivery.
• The intrauterine device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks.
• Tubal sterilization can be performed during Caesarean section, immediately postpartum after a vaginal delivery or as an interval procedure.

Answer

Depo-Provera 150mg IM

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
• Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within 2 weeks of delivery. • The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding. • Depo-Provera 150mg IM can be started after delivery. • The intrauterine device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion,

Flashcard 1414284578060

Tags

#obgyn

Question

CONTRACEPTION
• Ovulation can occur within 4 to 6 weeks of delivery in women who are not breastfeeding.
• Hormonal preparation are safe in women breastfeeding (secretion in breast milk is minimal).
• Milk production can be affected in the early postpartum period with the use of combined contraceptive pill.
• Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within 2 weeks of delivery.
• The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding.
• Depo-Provera 150mg IM can be started after delivery.
• The intrauterine device can be inserted [...] after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks.
• Tubal sterilization can be performed during Caesarean section, immediately postpartum after a vaginal delivery or as an interval procedure.

Answer

immediately (within 10 minutes)

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repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

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s of delivery. • The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding. • Depo-Provera 150mg IM can be started after delivery. • The intrauterine device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks. • Tubal sterilization can be performed during Caesarean section,

Flashcard 1414286150924

Tags

#obgyn

Question

CONTRACEPTION
• Ovulation can occur within 4 to 6 weeks of delivery in women who are not breastfeeding.
• Hormonal preparation are safe in women breastfeeding (secretion in breast milk is minimal).
• Milk production can be affected in the early postpartum period with the use of combined contraceptive pill.
• Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within 2 weeks of delivery.
• The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding.
• Depo-Provera 150mg IM can be started after delivery.
• The intrauterine device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after [...] weeks.
• Tubal sterilization can be performed during Caesarean section, immediately postpartum after a vaginal delivery or as an interval procedure.

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
3; • Depo-Provera 150mg IM can be started after delivery. • The intrauterine device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks. • Tubal sterilization can be performed during Caesarean section, immediately postpartum after a vaginal delivery or as an interval procedure.<body><html>

Flashcard 1414287723788

Tags

#obgyn

Question

CONTRACEPTION
• Ovulation can occur within 4 to 6 weeks of delivery in women who are not breastfeeding.
• Hormonal preparation are safe in women breastfeeding (secretion in breast milk is minimal).
• Milk production can be affected in the early postpartum period with the use of combined contraceptive pill.
• Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within 2 weeks of delivery.
• The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding.
• Depo-Provera 150mg IM can be started after delivery.
• The intrauterine device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks.
• Tubal sterilization can be performed during [...], immediately postpartum after a vaginal delivery or as an interval procedure.

Answer

Caesarean section

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

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3; • The intrauterine device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks. • Tubal sterilization can be performed during Caesarean section, immediately postpartum after a vaginal delivery or as an interval procedure.<body><html>

Flashcard 1414289296652

Tags

#obgyn

Question

CONTRACEPTION
• Ovulation can occur within 4 to 6 weeks of delivery in women who are not breastfeeding.
• Hormonal preparation are safe in women breastfeeding (secretion in breast milk is minimal).
• Milk production can be affected in the early postpartum period with the use of combined contraceptive pill.
• Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within 2 weeks of delivery.
• The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding.
• Depo-Provera 150mg IM can be started after delivery.
• The intrauterine device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks.
• Tubal sterilization can be performed during Caesarean section, [...] or as an interval procedure.

Answer

immediately postpartum after a vaginal delivery

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
ne device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks. • Tubal sterilization can be performed during Caesarean section, immediately postpartum after a vaginal delivery or as an interval procedure.<body><html>

Flashcard 1414290869516

Tags

#obgyn

Question

CONTRACEPTION
• Ovulation can occur within 4 to 6 weeks of delivery in women who are not breastfeeding.
• Hormonal preparation are safe in women breastfeeding (secretion in breast milk is minimal).
• Milk production can be affected in the early postpartum period with the use of combined contraceptive pill.
• Progesterone only pill (POP)/Progesterone only IUD are safe and can be started within 2 weeks of delivery.
• The combined oral contraceptive pill or POP can be commenced within 1-2 weeks in women who are not breastfeeding.
• Depo-Provera 150mg IM can be started after delivery.
• The intrauterine device can be inserted immediately (within 10 minutes) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks.
• Tubal sterilization can be performed during Caesarean section, immediately postpartum after a vaginal delivery or as [...].

Answer

an interval procedure

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repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

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es) after the delivery of the placenta, because of the high risk of expulsion, it is typically inserted after 6 weeks. • Tubal sterilization can be performed during Caesarean section, immediately postpartum after a vaginal delivery or as an interval procedure.<body><html>

Annotation 1414292442380

#obgyn

Endometritis - postpartum complication:
• Infection of the uterine myometrium and parametrium.
• A common cause of postpartum febrile morbidity.
• Uncommon in uncomplicated vaginal deliveries.
• Signs and symptoms: fever +/- chills, abdominal pain, abnormal bleeding or foul smelling lochia.
• Examination revealed a tender abdomen and uterus, offensive discharge.
• Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.

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Flashcard 1414293753100

Tags

#obgyn

Question

Endometritis - postpartum complication:
• Infection of the [...]
• A common cause of postpartum febrile morbidity.
• Uncommon in uncomplicated vaginal deliveries.
• Signs and symptoms: fever +/- chills, abdominal pain, abnormal bleeding or foul smelling lochia.
• Examination revealed a tender abdomen and uterus, offensive discharge.
• Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.

Answer

uterine myometrium and parametrium.

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
Endometritis - postpartum complication: • Infection of the uterine myometrium and parametrium. • A common cause of postpartum febrile morbidity. • Uncommon in uncomplicated vaginal deliveries. • Signs and symptoms: fever +/- chills, abdominal pain, abnormal bleedin

Flashcard 1414295325964

Tags

#obgyn

Question

Endometritis - postpartum complication:
• Infection of the uterine myometrium and parametrium.
• A common cause of [...]
• Uncommon in uncomplicated vaginal deliveries.
• Signs and symptoms: fever +/- chills, abdominal pain, abnormal bleeding or foul smelling lochia.
• Examination revealed a tender abdomen and uterus, offensive discharge.
• Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.

Answer

postpartum febrile morbidity.

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414296898828

Tags

#obgyn

Question

Endometritis - postpartum complication:
• Infection of the uterine myometrium and parametrium.
• A common cause of postpartum febrile morbidity.
• Uncommon in [...]
• Signs and symptoms: fever +/- chills, abdominal pain, abnormal bleeding or foul smelling lochia.
• Examination revealed a tender abdomen and uterus, offensive discharge.
• Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.

Answer

uncomplicated vaginal deliveries.

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414298471692

Tags

#obgyn

Question

Endometritis - postpartum complication:
• Infection of the uterine myometrium and parametrium.
• A common cause of postpartum febrile morbidity.
• Uncommon in uncomplicated vaginal deliveries.
• Signs and symptoms: [...]
• Examination revealed a tender abdomen and uterus, offensive discharge.
• Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.

Answer

fever +/- chills, abdominal pain, abnormal bleeding or foul smelling lochia.

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
n>Endometritis - postpartum complication: • Infection of the uterine myometrium and parametrium. • A common cause of postpartum febrile morbidity. • Uncommon in uncomplicated vaginal deliveries. • Signs and symptoms: fever +/- chills, abdominal pain, abnormal bleeding or foul smelling lochia. • Examination revealed a tender abdomen and uterus, offensive discharge. • Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, use

Flashcard 1414300044556

Tags

#obgyn

Question

Endometritis - postpartum complication:
• Infection of the uterine myometrium and parametrium.
• A common cause of postpartum febrile morbidity.
• Uncommon in uncomplicated vaginal deliveries.
• Signs and symptoms: fever +/- chills, abdominal pain, abnormal bleeding or foul smelling lochia.
• Examination revealed a [...].
• Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.

Answer

tender abdomen and uterus, offensive discharge

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
• A common cause of postpartum febrile morbidity. • Uncommon in uncomplicated vaginal deliveries. • Signs and symptoms: fever +/- chills, abdominal pain, abnormal bleeding or foul smelling lochia. • Examination revealed a tender abdomen and uterus, offensive discharge. • Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section

Flashcard 1414301617420

Tags

#obgyn

Question

Endometritis - postpartum complication:
• Infection of the uterine myometrium and parametrium.
• A common cause of postpartum febrile morbidity.
• Uncommon in uncomplicated vaginal deliveries.
• Signs and symptoms: fever +/- chills, abdominal pain, abnormal bleeding or foul smelling lochia.
• Examination revealed a tender abdomen and uterus, offensive discharge.
• Predisposing factors: [...] multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.

Answer

prolonged rupture of membranes and labour,

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
complicated vaginal deliveries. • Signs and symptoms: fever +/- chills, abdominal pain, abnormal bleeding or foul smelling lochia. • Examination revealed a tender abdomen and uterus, offensive discharge. • Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.<body><html>

Flashcard 1414303190284

Tags

#obgyn

Question

Endometritis - postpartum complication:
• Infection of the uterine myometrium and parametrium.
• A common cause of postpartum febrile morbidity.
• Uncommon in uncomplicated vaginal deliveries.
• Signs and symptoms: fever +/- chills, abdominal pain, abnormal bleeding or foul smelling lochia.
• Examination revealed a tender abdomen and uterus, offensive discharge.
• Predisposing factors: prolonged rupture of membranes and labour, [...], use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.

Answer

multiple vaginal examinations

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
s and symptoms: fever +/- chills, abdominal pain, abnormal bleeding or foul smelling lochia. • Examination revealed a tender abdomen and uterus, offensive discharge. • Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.<body><html>

Flashcard 1414304763148

Tags

#obgyn

Question

Endometritis - postpartum complication:
• Infection of the uterine myometrium and parametrium.
• A common cause of postpartum febrile morbidity.
• Uncommon in uncomplicated vaginal deliveries.
• Signs and symptoms: fever +/- chills, abdominal pain, abnormal bleeding or foul smelling lochia.
• Examination revealed a tender abdomen and uterus, offensive discharge.
• Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, [...], intrapartum chorioamnionitis, caesarean section.

Answer

use of internal fetal monitoring

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
s, abdominal pain, abnormal bleeding or foul smelling lochia. • Examination revealed a tender abdomen and uterus, offensive discharge. • Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.<body><html>

Flashcard 1414306336012

Tags

#obgyn

Question

Answer

intrapartum chorioamnionitis

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
ng or foul smelling lochia. • Examination revealed a tender abdomen and uterus, offensive discharge. • Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.<body><html>

Flashcard 1414307908876

Tags

#obgyn

Question

Answer

caesarean section

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
3; • Examination revealed a tender abdomen and uterus, offensive discharge. • Predisposing factors: prolonged rupture of membranes and labour, multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.<body><html>

Annotation 1414309481740

#obgyn

postpartum endometritis investigations:
- complete blood count (may show neutrophilia), vaginal, blood and urine cultures.

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414310792460

Tags

#obgyn

Question

postpartum endometritis investigations:
- [...], vaginal, blood and urine cultures.

Answer

complete blood count (may show neutrophilia)

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
postpartum endometritis investigations: - complete blood count (may show neutrophilia), vaginal, blood and urine cultures.

Flashcard 1414312365324

Tags

#obgyn

Question

postpartum endometritis investigations:
- complete blood count (may show neutrophilia), [...] cultures.

Answer

vaginal, blood and urine

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
postpartum endometritis investigations: - complete blood count (may show neutrophilia), vaginal, blood and urine cultures.

Flashcard 1414313938188

Tags

#obgyn

Question

tx of mild endometritis postpartum

Answer

Patients who are well can be treated with oral antibiotics on an outpatient basis.

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Annotation 1414315773196

#obgyn

Severe postpartum endometritis tx:
Sick patients, post abdominal deliveries, treat with Intravenous therapy- Clindamycin IV 900mg every 8 hours + Gentamicin IV 1.5mg/kg every 8 hours or Extended interval dosing of Gentamicin 5mg/kg every 24 hours. The extended dosing is convenient and does not require Gentamicin levels.

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last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414317083916

Tags

#obgyn

Question

Severe postpartum endometritis tx:
[...], treat with Intravenous therapy- Clindamycin IV 900mg every 8 hours + Gentamicin IV 1.5mg/kg every 8 hours or Extended interval dosing of Gentamicin 5mg/kg every 24 hours. The extended dosing is convenient and does not require Gentamicin levels.

Answer

Sick patients, post abdominal deliveries

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
Severe postpartum endometritis tx: Sick patients, post abdominal deliveries, treat with Intravenous therapy- Clindamycin IV 900mg every 8 hours + Gentamicin IV 1.5mg/kg every 8 hours or Extended interval dosing of Gentamicin 5mg/kg every 24 hours. The extended

Flashcard 1414318656780

Tags

#obgyn

Question

Severe postpartum endometritis tx:
Sick patients, post abdominal deliveries, treat with Intravenous therapy- [...] IV 900mg every 8 hours + Gentamicin IV 1.5mg/kg every 8 hours or Extended interval dosing of Gentamicin 5mg/kg every 24 hours. The extended dosing is convenient and does not require Gentamicin levels.

Answer

Clindamycin

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414321802508

Tags

#obgyn

Question

Severe postpartum endometritis tx:
Sick patients, post abdominal deliveries, treat with Intravenous therapy- Clindamycin IV 900mg every [...] hours + Gentamicin IV 1.5mg/kg every 8 hours or Extended interval dosing of Gentamicin 5mg/kg every 24 hours. The extended dosing is convenient and does not require Gentamicin levels.

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414323375372

Tags

#obgyn

Question

Severe postpartum endometritis tx:
Sick patients, post abdominal deliveries, treat with Intravenous therapy- Clindamycin IV 900mg every 8 hours + [...] IV 1.5mg/kg every 8 hours or Extended interval dosing of Gentamicin 5mg/kg every 24 hours. The extended dosing is convenient and does not require Gentamicin levels.

Answer

Gentamicin

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414327569676

Tags

#obgyn

Question

Severe postpartum endometritis tx:
Sick patients, post abdominal deliveries, treat with Intravenous therapy- Clindamycin IV 900mg every 8 hours + Gentamicin IV 1.5mg/kg every [...] hours or Extended interval dosing of Gentamicin 5mg/kg every 24 hours. The extended dosing is convenient and does not require Gentamicin levels.

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414329142540

Tags

#obgyn

Question

Severe postpartum endometritis tx:
Sick patients, post abdominal deliveries, treat with Intravenous therapy- Clindamycin IV 900mg every 8 hours + Gentamicin IV 1.5mg/kg every 8 hours or [...] dosing of Gentamicin 5mg/kg every 24 hours. The extended dosing is convenient and does not require Gentamicin levels.

Answer

Extended interval

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414330715404

Tags

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Question

Severe postpartum endometritis tx:
Sick patients, post abdominal deliveries, treat with Intravenous therapy- Clindamycin IV 900mg every 8 hours + Gentamicin IV 1.5mg/kg every 8 hours or Extended interval dosing of Gentamicin 5mg/kg every [...] hours. The extended dosing is convenient and does not require Gentamicin levels.

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414332288268

Tags

#obgyn

Question

IV antibiotics should be continued in postpartum endometritis until the patient is clinically improved and afebrile for [...] hours.

Answer

24- 48

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Annotation 1414334123276

Persistent postpartum fever:
Refers to a lack of improvement or deterioration in clinical status after 48 hours of treatment.
Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude retained products of conception (RPOC), Consultation to Infectious disease team (ID team).
Consider other causes like Infected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis.
Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome.

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414335433996

Question

Persistent postpartum fever:
Refers to [...].
Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude retained products of conception (RPOC), Consultation to Infectious disease team (ID team).
Consider other causes like Infected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis.
Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome.

Answer

a lack of improvement or deterioration in clinical status after 48 hours of treatment

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
Persistent postpartum fever: Refers to a lack of improvement or deterioration in clinical status after 48 hours of treatment. Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude retained products of conception (RPOC), Consultation to Infectious disease te

Flashcard 1414337006860

Question

Persistent postpartum fever:
Refers to a lack of improvement or deterioration in clinical status after 48 hours of treatment.
Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude [...], Consultation to Infectious disease team (ID team).
Consider other causes like Infected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis.
Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome.

Answer

retained products of conception (RPOC)

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
span>Persistent postpartum fever: Refers to a lack of improvement or deterioration in clinical status after 48 hours of treatment. Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude retained products of conception (RPOC), Consultation to Infectious disease team (ID team). Consider other causes like Infected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis

Flashcard 1414338579724

Question

Persistent postpartum fever:
Refers to a lack of improvement or deterioration in clinical status after 48 hours of treatment.
Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude retained products of conception (RPOC), Consultation to Infectious disease team (ID team).
Consider other causes like [...].
Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome.

Answer

Infected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
f treatment. Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude retained products of conception (RPOC), Consultation to Infectious disease team (ID team). Consider other causes like Infected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis. Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s

Flashcard 1414340152588

Question

Answer

uterine scarring/ Asherman’s syndrome

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
c cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis. Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome. <body><html>

Flashcard 1414341725452

Question

Persistent postpartum fever:
Refers to a lack of improvement or deterioration in clinical status after 48 hours of treatment.
Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude retained products of conception (RPOC), Consultation to Infectious disease team (ID team).
Consider other causes like Infected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis.
Treatment: consider [...]; consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome.

Answer

antibiotics changes (consult ID team)

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
POC), Consultation to Infectious disease team (ID team). Consider other causes like Infected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis. Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome. <body><html>

Flashcard 1414343298316

Question

Persistent postpartum fever:
Refers to a lack of improvement or deterioration in clinical status after 48 hours of treatment.
Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude retained products of conception (RPOC), Consultation to Infectious disease team (ID team).
Consider other causes like Infected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis.
Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove [...]. “Gentle” to prevent uterine scarring/ Asherman’s syndrome.

Answer

necrotic tissue

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
ected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis. Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome. <body><html>

Flashcard 1414344871180

Tags

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Question

What is postpartum hemorrhage?

Answer

Blood loss of > 500mL following vaginal delivery and > 1000mL after CS

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Annotation 1414346706188

#obgyn

postpartum hemorrhage:
Can be classified as early (within 24 hours of delivery) and late (after 24 hours but before 6 weeks)

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414351162636

Tags

#obgyn

Question

postpartum hemorrhage:
Can be classified as early (within 24 hours of delivery) and late ([...])

Answer

after 24 hours but before 6 weeks

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
postpartum hemorrhage: Can be classified as early (within 24 hours of delivery) and late (after 24 hours but before 6 weeks)

Flashcard 1414353259788

Tags

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Question

postpartum hemorrhage:
Can be classified as early ([...]) and late (after 24 hours but before 6 weeks)

Answer

within 24 hours of delivery

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
postpartum hemorrhage: Can be classified as early (within 24 hours of delivery) and late (after 24 hours but before 6 weeks)

Flashcard 1414354832652

Tags

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Question

What is the most common cause for early postpartum hemorrhage?

Answer

90% is uterine atony

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414356667660

Tags

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Question

early PPH is rarely due to ...

Answer

retained products/lacerations/coagulopathies

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414359026956

Tags

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Question

What are the 4 T's of cause of PPH?

Answer

1. tone (uterine atony)
2. trauma
3. tissue (retained products)
4. thrombin

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Annotation 1414360861964

#obgyn

Prevention of PPH
1 . Administer oxytocin routinely after delivery
2 . Clamp and cut cord when baby delivered (delay clamping by 60 sec if <37wks GA)
3 . Palpate uterine fundus and confirm that uterus is contracting
4 . Keep tension on cord pulling gently while applying suprapubic counter-traction on uterus with other hand. Digital exam along the cord to determine whether the placenta is at the
cervix. Pulling hard on cord may cause cord to avulse. Gentle traction with a relaxed uterus can cause uterine inversion.
5 . If placenta not delivered in 15 minutes, use oxytocin infusion
6 . Once placenta delivered, assess fundus to ensure it is well contracted
7 . Inspect placenta and membranes for completeness
8 . Examine external genitalia and internal genital tract for lacerations, hematomas.

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414362172684

Tags

#obgyn

Question

Prevention of PPH
1 . [...]
2 . Clamp and cut cord when baby delivered (delay clamping by 60 sec if <37wks GA)
3 . Palpate uterine fundus and confirm that uterus is contracting
4 . Keep tension on cord pulling gently while applying suprapubic counter-traction on uterus with other hand. Digital exam along the cord to determine whether the placenta is at the
cervix. Pulling hard on cord may cause cord to avulse. Gentle traction with a relaxed uterus can cause uterine inversion.
5 . If placenta not delivered in 15 minutes, use oxytocin infusion
6 . Once placenta delivered, assess fundus to ensure it is well contracted
7 . Inspect placenta and membranes for completeness
8 . Examine external genitalia and internal genital tract for lacerations, hematomas.

Answer

Administer oxytocin routinely after delivery

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414363745548

Tags

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Question

Prevention of PPH
1 . Administer oxytocin routinely after delivery
2 . [...]
3 . Palpate uterine fundus and confirm that uterus is contracting
4 . Keep tension on cord pulling gently while applying suprapubic counter-traction on uterus with other hand. Digital exam along the cord to determine whether the placenta is at the
cervix. Pulling hard on cord may cause cord to avulse. Gentle traction with a relaxed uterus can cause uterine inversion.
5 . If placenta not delivered in 15 minutes, use oxytocin infusion
6 . Once placenta delivered, assess fundus to ensure it is well contracted
7 . Inspect placenta and membranes for completeness
8 . Examine external genitalia and internal genital tract for lacerations, hematomas.

Answer

Clamp and cut cord when baby delivered (delay clamping by 60 sec if <37wks GA)

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
Prevention of PPH 1 . Administer oxytocin routinely after delivery 2 . Clamp and cut cord when baby delivered (delay clamping by 60 sec if <37wks GA) 3 . Palpate uterine fundus and confirm that uterus is contracting 4 . Keep tension on cord pulling gently while applying suprapubic counter-traction on uterus with other hand.

Flashcard 1414365318412

Tags

#obgyn

Question

Prevention of PPH
1 . Administer oxytocin routinely after delivery
2 . Clamp and cut cord when baby delivered (delay clamping by 60 sec if <37wks GA)
3 . [...]
4 . Keep tension on cord pulling gently while applying suprapubic counter-traction on uterus with other hand. Digital exam along the cord to determine whether the placenta is at the
cervix. Pulling hard on cord may cause cord to avulse. Gentle traction with a relaxed uterus can cause uterine inversion.
5 . If placenta not delivered in 15 minutes, use oxytocin infusion
6 . Once placenta delivered, assess fundus to ensure it is well contracted
7 . Inspect placenta and membranes for completeness
8 . Examine external genitalia and internal genital tract for lacerations, hematomas.

Answer

Palpate uterine fundus and confirm that uterus is contracting

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414366891276

Tags

#obgyn

Question

Prevention of PPH
1 . Administer oxytocin routinely after delivery
2 . Clamp and cut cord when baby delivered (delay clamping by 60 sec if <37wks GA)
3 . Palpate uterine fundus and confirm that uterus is contracting
4 . [...]. Digital exam along the cord to determine whether the placenta is at the
cervix. Pulling hard on cord may cause cord to avulse. Gentle traction with a relaxed uterus can cause uterine inversion.
5 . If placenta not delivered in 15 minutes, use oxytocin infusion
6 . Once placenta delivered, assess fundus to ensure it is well contracted
7 . Inspect placenta and membranes for completeness
8 . Examine external genitalia and internal genital tract for lacerations, hematomas.

Answer

Keep tension on cord pulling gently while applying suprapubic counter-traction on uterus with other hand

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
revention of PPH 1 . Administer oxytocin routinely after delivery 2 . Clamp and cut cord when baby delivered (delay clamping by 60 sec if <37wks GA) 3 . Palpate uterine fundus and confirm that uterus is contracting 4 . Keep tension on cord pulling gently while applying suprapubic counter-traction on uterus with other hand. Digital exam along the cord to determine whether the placenta is at the cervix. Pulling hard on cord may cause cord to avulse. Gentle traction with a relaxed uterus can cause uter

Flashcard 1414368464140

Tags

#obgyn

Question

Prevention of PPH
1 . Administer oxytocin routinely after delivery
2 . Clamp and cut cord when baby delivered (delay clamping by 60 sec if <37wks GA)
3 . Palpate uterine fundus and confirm that uterus is contracting
4 . Keep tension on cord pulling gently while applying suprapubic counter-traction on uterus with other hand. Digital exam along the cord to determine whether the placenta is at the
cervix. Pulling hard on cord may cause cord to avulse. Gentle traction with a relaxed uterus can cause uterine inversion.
5 . If placenta not delivered in [...] minutes, use oxytocin infusion
6 . Once placenta delivered, assess fundus to ensure it is well contracted
7 . Inspect placenta and membranes for completeness
8 . Examine external genitalia and internal genital tract for lacerations, hematomas.

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
hand. Digital exam along the cord to determine whether the placenta is at the cervix. Pulling hard on cord may cause cord to avulse. Gentle traction with a relaxed uterus can cause uterine inversion. 5 . If placenta not delivered in 15 minutes, use oxytocin infusion 6 . Once placenta delivered, assess fundus to ensure it is well contracted 7 . Inspect placenta and membranes for completeness 8 . Examine

Flashcard 1414370037004

Tags

#obgyn

Question

Prevention of PPH
1 . Administer oxytocin routinely after delivery
2 . Clamp and cut cord when baby delivered (delay clamping by 60 sec if <37wks GA)
3 . Palpate uterine fundus and confirm that uterus is contracting
4 . Keep tension on cord pulling gently while applying suprapubic counter-traction on uterus with other hand. Digital exam along the cord to determine whether the placenta is at the
cervix. Pulling hard on cord may cause cord to avulse. Gentle traction with a relaxed uterus can cause uterine inversion.
5 . If placenta not delivered in 15 minutes, use [...]
6 . Once placenta delivered, assess fundus to ensure it is well contracted
7 . Inspect placenta and membranes for completeness
8 . Examine external genitalia and internal genital tract for lacerations, hematomas.

Answer

oxytocin infusion

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
am along the cord to determine whether the placenta is at the cervix. Pulling hard on cord may cause cord to avulse. Gentle traction with a relaxed uterus can cause uterine inversion. 5 . If placenta not delivered in 15 minutes, use oxytocin infusion 6 . Once placenta delivered, assess fundus to ensure it is well contracted 7 . Inspect placenta and membranes for completeness 8 . Examine external genitalia and internal

Flashcard 1414371609868

Tags

#obgyn

Question

Prevention of PPH
1 . Administer oxytocin routinely after delivery
2 . Clamp and cut cord when baby delivered (delay clamping by 60 sec if <37wks GA)
3 . Palpate uterine fundus and confirm that uterus is contracting
4 . Keep tension on cord pulling gently while applying suprapubic counter-traction on uterus with other hand. Digital exam along the cord to determine whether the placenta is at the
cervix. Pulling hard on cord may cause cord to avulse. Gentle traction with a relaxed uterus can cause uterine inversion.
5 . If placenta not delivered in 15 minutes, use oxytocin infusion
6 . Once placenta delivered, assess [...]
7 . Inspect placenta and membranes for completeness
8 . Examine external genitalia and internal genital tract for lacerations, hematomas.

Answer

fundus to ensure it is well contracted

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
he cervix. Pulling hard on cord may cause cord to avulse. Gentle traction with a relaxed uterus can cause uterine inversion. 5 . If placenta not delivered in 15 minutes, use oxytocin infusion 6 . Once placenta delivered, assess fundus to ensure it is well contracted 7 . Inspect placenta and membranes for completeness 8 . Examine external genitalia and internal genital tract for lacerations, hematomas.<body><html>

Flashcard 1414373182732

Tags

#obgyn

Question

Prevention of PPH
1 . Administer oxytocin routinely after delivery
2 . Clamp and cut cord when baby delivered (delay clamping by 60 sec if <37wks GA)
3 . Palpate uterine fundus and confirm that uterus is contracting
4 . Keep tension on cord pulling gently while applying suprapubic counter-traction on uterus with other hand. Digital exam along the cord to determine whether the placenta is at the
cervix. Pulling hard on cord may cause cord to avulse. Gentle traction with a relaxed uterus can cause uterine inversion.
5 . If placenta not delivered in 15 minutes, use oxytocin infusion
6 . Once placenta delivered, assess fundus to ensure it is well contracted
7 . Inspect placenta and membranes for [...]
8 . Examine external genitalia and internal genital tract for lacerations, hematomas.

Answer

completeness

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
a relaxed uterus can cause uterine inversion. 5 . If placenta not delivered in 15 minutes, use oxytocin infusion 6 . Once placenta delivered, assess fundus to ensure it is well contracted 7 . Inspect placenta and membranes for completeness 8 . Examine external genitalia and internal genital tract for lacerations, hematomas.<body><html>

Flashcard 1414374755596

Tags

#obgyn

Question

Answer

lacerations, hematomas.

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
d in 15 minutes, use oxytocin infusion 6 . Once placenta delivered, assess fundus to ensure it is well contracted 7 . Inspect placenta and membranes for completeness 8 . Examine external genitalia and internal genital tract for lacerations, hematomas.<body><html>

Annotation 1414376328460

#obgyn

8 Steps to PPH management:
1. ABCs
2. get help
3. assess fundus
4. exam genital tract & placenta, + uterine exploration
5. empty bladder
6. drug therapy
7. consider alternative procedures
8. if coagulopathy

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414377639180

Tags

#obgyn

Question

8 Steps to PPH management:
1. [...]
2. get help
3. assess fundus
4. exam genital tract & placenta, + uterine exploration
5. empty bladder
6. drug therapy
7. consider alternative procedures
8. if coagulopathy

Answer

ABCs

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
8 Steps to PPH management: 1. ABCs 2. get help 3. assess fundus 4. exam genital tract & placenta, + uterine exploration 5. empty bladder 6. drug therapy 7. consider alternative procedure

Flashcard 1414379212044

Tags

#obgyn

Question

8 Steps to PPH management:
1. ABCs
2. [...]
3. assess fundus
4. exam genital tract & placenta, + uterine exploration
5. empty bladder
6. drug therapy
7. consider alternative procedures
8. if coagulopathy

Answer

get help

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
8 Steps to PPH management: 1. ABCs 2. get help 3. assess fundus 4. exam genital tract & placenta, + uterine exploration 5. empty bladder 6. drug therapy 7. consider alternative procedures 8. if coag

Flashcard 1414380784908

Tags

#obgyn

Question

8 Steps to PPH management:
1. ABCs
2. get help
3. [...]
4. exam genital tract & placenta, + uterine exploration
5. empty bladder
6. drug therapy
7. consider alternative procedures
8. if coagulopathy

Answer

assess fundus

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414382357772

Tags

#obgyn

Question

8 Steps to PPH management:
1. ABCs
2. get help
3. assess fundus
4. [...]
5. empty bladder
6. drug therapy
7. consider alternative procedures
8. if coagulopathy

Answer

exam genital tract & placenta, + uterine exploration

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414383930636

Tags

#obgyn

Question

8 Steps to PPH management:
1. ABCs
2. get help
3. assess fundus
4. exam genital tract & placenta, + uterine exploration
5. [...]
6. drug therapy
7. consider alternative procedures
8. if coagulopathy

Answer

empty bladder

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414385503500

Tags

#obgyn

Question

8 Steps to PPH management:
1. ABCs
2. get help
3. assess fundus
4. exam genital tract & placenta, + uterine exploration
5. empty bladder
6. [...]
7. consider alternative procedures
8. if coagulopathy

Answer

drug therapy

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414387076364

Tags

#obgyn

Question

8 Steps to PPH management:
1. ABCs
2. get help
3. assess fundus
4. exam genital tract & placenta, + uterine exploration
5. empty bladder
6. drug therapy
7. [...]
8. if coagulopathy

Answer

consider alternative procedures

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414388649228

Tags

#obgyn

Question

8 Steps to PPH management:
1. ABCs
2. get help
3. assess fundus
4. exam genital tract & placenta, + uterine exploration
5. empty bladder
6. drug therapy
7. consider alternative procedures
8. [...]

Answer

if coagulopathy

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
n>8 Steps to PPH management: 1. ABCs 2. get help 3. assess fundus 4. exam genital tract & placenta, + uterine exploration 5. empty bladder 6. drug therapy 7. consider alternative procedures 8. if coagulopathy<body><html>

Annotation 1414390222092

#obgyn

Management of PPH - ABCs:
• Talk to and observe your patient
• Monitor vital signs
• Commence at least one large bore IV (16 gauge or larger)
• Run IV crystalloid solution wide open
• Obtain a CBC, cross-match and do coagulation studies

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Annotation 1414390746380

#obgyn

PPH management - get help:
• Get additional personnel to manage resuscitation
• Notify lab of potential need for massive transfusion

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414392057100

Tags

#obgyn

Question

Management of PPH - ABCs:
• [...]
• Monitor vital signs
• Commence at least one large bore IV (16 gauge or larger)
• Run IV crystalloid solution wide open
• Obtain a CBC, cross-match and do coagulation studies

Answer

Talk to and observe your patient

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
Management of PPH - ABCs: • Talk to and observe your patient • Monitor vital signs • Commence at least one large bore IV (16 gauge or larger) • Run IV crystalloid solution wide open • Obtain a CBC, cross-match and do coagulati

Flashcard 1414393629964

Tags

#obgyn

Question

Management of PPH - ABCs:
• Talk to and observe your patient
• [...]
• Commence at least one large bore IV (16 gauge or larger)
• Run IV crystalloid solution wide open
• Obtain a CBC, cross-match and do coagulation studies

Answer

Monitor vital signs

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414395202828

Tags

#obgyn

Question

Management of PPH - ABCs:
• Talk to and observe your patient
• Monitor vital signs
• [...]
• Run IV crystalloid solution wide open
• Obtain a CBC, cross-match and do coagulation studies

Answer

Commence at least one large bore IV (16 gauge or larger)

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414396775692

Tags

#obgyn

Question

Management of PPH - ABCs:
• Talk to and observe your patient
• Monitor vital signs
• Commence at least one large bore IV (16 gauge or larger)
• [...]
• Obtain a CBC, cross-match and do coagulation studies

Answer

Run IV crystalloid solution wide open

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414398348556

Tags

#obgyn

Question

Management of PPH - ABCs:
• Talk to and observe your patient
• Monitor vital signs
• Commence at least one large bore IV (16 gauge or larger)
• Run IV crystalloid solution wide open
• [...]

Answer

Obtain a CBC, cross-match and do coagulation studies

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
ml>Management of PPH - ABCs: • Talk to and observe your patient • Monitor vital signs • Commence at least one large bore IV (16 gauge or larger) • Run IV crystalloid solution wide open • Obtain a CBC, cross-match and do coagulation studies<html>

Flashcard 1414400707852

Tags

#obgyn

Question

PPH management - get help:
• [...]
• Notify lab of potential need for massive transfusion

Answer

Get additional personnel to manage resuscitation

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
PPH management - get help: • Get additional personnel to manage resuscitation • Notify lab of potential need for massive transfusion

Flashcard 1414402280716

Tags

#obgyn

Question

PPH management - get help:
• Get additional personnel to manage resuscitation
• [...]

Answer

Notify lab of potential need for massive transfusion

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
PPH management - get help: • Get additional personnel to manage resuscitation • Notify lab of potential need for massive transfusion

Annotation 1414403853580

#obgyn

PPH management - assess fundus:
if boggy, do bimanual massage: uterus massaged between a hand in vagina against the cervix and a hand on the fundus. Explore uterine cavity at this time to rule out retained products, uterine inversion or uterine rupture if analgesia allows.

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414405164300

Tags

#obgyn

Question

PPH management - assess fundus:
if boggy, do [...]: uterus massaged between a hand in vagina against the cervix and a hand on the fundus. Explore uterine cavity at this time to rule out retained products, uterine inversion or uterine rupture if analgesia allows.

Answer

bimanual massage

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
PPH management - assess fundus : if boggy, do bimanual massage: uterus massaged between a hand in vagina against the cervix and a hand on the fundus. Explore uterine cavity at this time to rule out retained products, uterine inversion or uterine ru

Flashcard 1414406737164

Tags

#obgyn

Question

PPH management - assess fundus:
if boggy, do bimanual massage: uterus massaged between [...]. Explore uterine cavity at this time to rule out retained products, uterine inversion or uterine rupture if analgesia allows.

Answer

a hand in vagina against the cervix and a hand on the fundus

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414408310028

Tags

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Question

Answer

retained products, uterine inversion or uterine rupture

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Annotation 1414409882892

#obgyn

Management of PPH - step 4:
Examine the genital tract for injury, placenta for completeness, and do manual uterine exploration to rule out retained products

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414411193612

Tags

#obgyn

Question

Management of PPH - step 4:
Examine the genital tract for [...], placenta for completeness, and do manual uterine exploration to rule out retained products

Answer

injury

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
Management of PPH - step 4: Examine the genital tract for injury, placenta for completeness, and do manual uterine exploration to rule out retained products

Flashcard 1414412766476

Tags

#obgyn

Question

Management of PPH - step 4:
Examine the genital tract for injury, placenta for [...], and do manual uterine exploration to rule out retained products

Answer

completeness

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
Management of PPH - step 4: Examine the genital tract for injury, placenta for completeness, and do manual uterine exploration to rule out retained products

Flashcard 1414414339340

Tags

#obgyn

Question

Management of PPH - step 4:
Examine the genital tract for injury, placenta for completeness, and do manual uterine exploration to rule out [...]

Answer

retained products

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
Management of PPH - step 4: Examine the genital tract for injury, placenta for completeness, and do manual uterine exploration to rule out retained products

Annotation 1414415912204

#obgyn

PPH management - empty bladder:
may insert Foley catheter to keep bladder empty (which helps keep uterus contracted) and monitor urine output

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414417222924

Tags

#obgyn

Question

PPH management - empty bladder:
may insert Foley catheter to keep bladder empty (which helps [...]) and monitor urine output

Answer

keep uterus contracted

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
PPH management - empty bladder: may insert Foley catheter to keep bladder empty (which helps keep uterus contracted) and monitor urine output

Flashcard 1414418795788

Tags

#obgyn

Question

PPH management - empty bladder:
may insert Foley catheter to keep bladder empty (which helps keep uterus contracted) and [...]

Answer

monitor urine output

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
PPH management - empty bladder: may insert Foley catheter to keep bladder empty (which helps keep uterus contracted) and monitor urine output

Annotation 1414420368652

#obgyn

PPH management - drug therapy:
• Oxytocin
---• 5 units IV bolus
---• 20-40 units/250mL in crystalloid
---• 10 units IM if CV collapse or no IV access
• Carbetocin (long-acting oxytocin)
---• 100ug IV/IM
• Hemabate (Carboprost/15-Methyl Prostaglandin F2a)
---• 250 ug IM or intramyometrial; repeat every 15 min as needed
---• Maximum cumulative dose 2 mg (8 doses)
---• Asthma a relative contraindication
• Methylergonovine maleate
---• 0.25 mg IM/0.125 mg IV
---• Repeat every 5 mins as needed
---• Maximum 5 doses
---• Hypertension and some medications (eg proteases) are a contraindication
• Misoprostol (off-label use)
---• 600-800 ug po/sl (faster onset) or pr/pv
---• Side effect: Pyrexia if >600ug given
• Tranexamic Acid (cyklokapron)—antifibrinolytic
---• 1g IV

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Annotation 1414421679372

#obgyn

PPH management - alternative procedures:
• Intra-uterine balloon (Bakri balloon)
• Uterine vessel ligation
• Internal iliac artery ligation
• Uterine suturing techniques
• Hysterectomy
• Bilateral uterine/internal iliac artery ligation

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414422990092

Tags

#obgyn

Question

PPH management - alternative procedures:
• [...]
• Uterine vessel ligation
• Internal iliac artery ligation
• Uterine suturing techniques
• Hysterectomy
• Bilateral uterine/internal iliac artery ligation

Answer

Intra-uterine balloon (Bakri balloon)

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
PPH management - alternative procedures: • Intra-uterine balloon (Bakri balloon) • Uterine vessel ligation • Internal iliac artery ligation • Uterine suturing techniques • Hysterectomy • Bilateral uterine/internal iliac artery ligation

Flashcard 1414424562956

Tags

#obgyn

Question

PPH management - alternative procedures:
• Intra-uterine balloon (Bakri balloon)
• [...]
• Internal iliac artery ligation
• Uterine suturing techniques
• Hysterectomy
• Bilateral uterine/internal iliac artery ligation

Answer

Uterine vessel ligation

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414426135820

Tags

#obgyn

Question

PPH management - alternative procedures:
• Intra-uterine balloon (Bakri balloon)
• Uterine vessel ligation
• [...]
• Uterine suturing techniques
• Hysterectomy
• Bilateral uterine/internal iliac artery ligation

Answer

Internal iliac artery ligation

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414427708684

Tags

#obgyn

Question

PPH management - alternative procedures:
• Intra-uterine balloon (Bakri balloon)
• Uterine vessel ligation
• Internal iliac artery ligation
• [...]
• Hysterectomy
• Bilateral uterine/internal iliac artery ligation

Answer

Uterine suturing techniques

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414429281548

Tags

#obgyn

Question

PPH management - alternative procedures:
• Intra-uterine balloon (Bakri balloon)
• Uterine vessel ligation
• Internal iliac artery ligation
• Uterine suturing techniques
• [...]
• Bilateral uterine/internal iliac artery ligation

Answer

Hysterectomy

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414430854412

Tags

#obgyn

Question

Answer

Bilateral uterine/internal iliac artery ligation

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
><head>PPH management - alternative procedures: • Intra-uterine balloon (Bakri balloon) • Uterine vessel ligation • Internal iliac artery ligation • Uterine suturing techniques • Hysterectomy • Bilateral uterine/internal iliac artery ligation<html>

Annotation 1414432427276

#obgyn

PPH management - coagulopathy:
• FFP (fresh frozen plasma)
• Cryoprecipitate
• Platelets
• Packed red blood cells

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414434524428

Tags

#obgyn

Question

PPH management - coagulopathy:
• [...]
• Cryoprecipitate
• Platelets
• Packed red blood cells

Answer

FFP (fresh frozen plasma)

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
PPH management - coagulopathy: • FFP (fresh frozen plasma) • Cryoprecipitate • Platelets • Packed red blood cells

Flashcard 1414436097292

Tags

#obgyn

Question

PPH management - coagulopathy:
• FFP (fresh frozen plasma)
• [...]
• Platelets
• Packed red blood cells

Answer

Cryoprecipitate

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
PPH management - coagulopathy: • FFP (fresh frozen plasma) • Cryoprecipitate • Platelets • Packed red blood cells

Flashcard 1414437670156

Tags

#obgyn

Question

PPH management - coagulopathy:
• FFP (fresh frozen plasma)
• Cryoprecipitate
• [...]
• Packed red blood cells

Answer

Platelets

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
PPH management - coagulopathy: • FFP (fresh frozen plasma) • Cryoprecipitate • Platelets • Packed red blood cells

Flashcard 1414439243020

Tags

#obgyn

Question

PPH management - coagulopathy:
• FFP (fresh frozen plasma)
• Cryoprecipitate
• Platelets
• [...]

Answer

Packed red blood cells

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
PPH management - coagulopathy: • FFP (fresh frozen plasma) • Cryoprecipitate • Platelets • Packed red blood cells

Flashcard 1414440815884

Tags

#obgyn

Question

PPH management - drug therapy:
• Oxytocin
---• [...] units IV bolus
---• 20-40 units/250mL in crystalloid
---• 10 units IM if CV collapse or no IV access
• Carbetocin (long-acting oxytocin)
---• 100ug IV/IM
• Hemabate (Carboprost/15-Methyl Prostaglandin F2a)
---• 250 ug IM or intramyometrial; repeat every 15 min as needed
---• Maximum cumulative dose 2 mg (8 doses)
---• Asthma a relative contraindication
• Methylergonovine maleate
---• 0.25 mg IM/0.125 mg IV
---• Repeat every 5 mins as needed
---• Maximum 5 doses
---• Hypertension and some medications (eg proteases) are a contraindication
• Misoprostol (off-label use)
---• 600-800 ug po/sl (faster onset) or pr/pv
---• Side effect: Pyrexia if >600ug given
• Tranexamic Acid (cyklokapron)—antifibrinolytic
---• 1g IV

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
PPH management - drug therapy: • Oxytocin ---• 5 units IV bolus ---• 20-40 units/250mL in crystalloid ---• 10 units IM if CV collapse or no IV access • Carbetocin (long-acting oxytocin) ---• 100ug IV/IM • Hema

Flashcard 1414442388748

Tags

#obgyn

Question

PPH management - drug therapy:
• Oxytocin
---• 5 units IV bolus
---• [...] units/250mL in crystalloid
---• 10 units IM if CV collapse or no IV access
• Carbetocin (long-acting oxytocin)
---• 100ug IV/IM
• Hemabate (Carboprost/15-Methyl Prostaglandin F2a)
---• 250 ug IM or intramyometrial; repeat every 15 min as needed
---• Maximum cumulative dose 2 mg (8 doses)
---• Asthma a relative contraindication
• Methylergonovine maleate
---• 0.25 mg IM/0.125 mg IV
---• Repeat every 5 mins as needed
---• Maximum 5 doses
---• Hypertension and some medications (eg proteases) are a contraindication
• Misoprostol (off-label use)
---• 600-800 ug po/sl (faster onset) or pr/pv
---• Side effect: Pyrexia if >600ug given
• Tranexamic Acid (cyklokapron)—antifibrinolytic
---• 1g IV

Answer

20-40

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414443961612

Tags

#obgyn

Question

PPH management - drug therapy:
• Oxytocin
---• 5 units IV bolus
---• 20-40 units/250mL in crystalloid
---• [...] units IM if CV collapse or no IV access
• Carbetocin (long-acting oxytocin)
---• 100ug IV/IM
• Hemabate (Carboprost/15-Methyl Prostaglandin F2a)
---• 250 ug IM or intramyometrial; repeat every 15 min as needed
---• Maximum cumulative dose 2 mg (8 doses)
---• Asthma a relative contraindication
• Methylergonovine maleate
---• 0.25 mg IM/0.125 mg IV
---• Repeat every 5 mins as needed
---• Maximum 5 doses
---• Hypertension and some medications (eg proteases) are a contraindication
• Misoprostol (off-label use)
---• 600-800 ug po/sl (faster onset) or pr/pv
---• Side effect: Pyrexia if >600ug given
• Tranexamic Acid (cyklokapron)—antifibrinolytic
---• 1g IV

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414445534476

Tags

#obgyn

Question

PPH management - drug therapy:
• Oxytocin
---• 5 units IV bolus
---• 20-40 units/250mL in crystalloid
---• 10 units IM if CV collapse or no IV access
• Carbetocin (long-acting oxytocin)
---• 100ug IV/IM
• Hemabate (Carboprost/15-Methyl Prostaglandin F2a)
---• 250 ug IM or intramyometrial; repeat every 15 min as needed
---• Maximum cumulative dose 2 mg (8 doses)
---• Asthma a relative contraindication
• Methylergonovine maleate
---• 0.25 mg IM/0.125 mg IV
---• Repeat every 5 mins as needed
---• Maximum 5 doses
---• Hypertension and some medications (eg proteases) are a contraindication
• Misoprostol (off-label use)
---• [...] ug po/sl (faster onset) or pr/pv
---• Side effect: Pyrexia if >600ug given
• Tranexamic Acid (cyklokapron)—antifibrinolytic
---• 1g IV

Answer

600-800

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
gonovine maleate ---• 0.25 mg IM/0.125 mg IV ---• Repeat every 5 mins as needed ---• Maximum 5 doses ---• Hypertension and some medications (eg proteases) are a contraindication • Misoprostol (off-label use) ---• 600-800 ug po/sl (faster onset) or pr/pv ---• Side effect: Pyrexia if >600ug given • Tranexamic Acid (cyklokapron)—antifibrinolytic ---• 1g IV<body><html>

Flashcard 1414447107340

Tags

#obgyn

Question

PPH management - drug therapy:
• Oxytocin
---• 5 units IV bolus
---• 20-40 units/250mL in crystalloid
---• 10 units IM if CV collapse or no IV access
• Carbetocin (long-acting oxytocin)
---• 100ug IV/IM
• Hemabate (Carboprost/15-Methyl Prostaglandin F2a)
---• 250 ug IM or intramyometrial; repeat every 15 min as needed
---• Maximum cumulative dose 2 mg (8 doses)
---• Asthma a relative contraindication
• Methylergonovine maleate
---• 0.25 mg IM/0.125 mg IV
---• Repeat every 5 mins as needed
---• Maximum 5 doses
---• Hypertension and some medications (eg proteases) are a contraindication
• Misoprostol (off-label use)
---• 600-800 ug po/sl (faster onset) or pr/pv
---• Side effect: Pyrexia if [...]ug given
• Tranexamic Acid (cyklokapron)—antifibrinolytic
---• 1g IV

Answer

>600

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
mins as needed ---• Maximum 5 doses ---• Hypertension and some medications (eg proteases) are a contraindication • Misoprostol (off-label use) ---• 600-800 ug po/sl (faster onset) or pr/pv ---• Side effect: Pyrexia if >600ug given • Tranexamic Acid (cyklokapron)—antifibrinolytic ---• 1g IV<body><html>

Flashcard 1414448680204

Tags

#obgyn

Question

PPH management - drug therapy:
• Oxytocin
---• 5 units IV bolus
---• 20-40 units/250mL in crystalloid
---• 10 units IM if CV collapse or no IV access
• Carbetocin (long-acting oxytocin)
---• 100ug IV/IM
• Hemabate (Carboprost/15-Methyl Prostaglandin F2a)
---• 250 ug IM or intramyometrial; repeat every 15 min as needed
---• Maximum cumulative dose 2 mg (8 doses)
---• Asthma a relative contraindication
• Methylergonovine maleate
---• [...] mg IM/0.125 mg IV
---• Repeat every 5 mins as needed
---• Maximum 5 doses
---• Hypertension and some medications (eg proteases) are a contraindication
• Misoprostol (off-label use)
---• 600-800 ug po/sl (faster onset) or pr/pv
---• Side effect: Pyrexia if >600ug given
• Tranexamic Acid (cyklokapron)—antifibrinolytic
---• 1g IV

Answer

0.25

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
boprost/15-Methyl Prostaglandin F2a) ---• 250 ug IM or intramyometrial; repeat every 15 min as needed ---• Maximum cumulative dose 2 mg (8 doses) ---• Asthma a relative contraindication • Methylergonovine maleate ---• 0.25 mg IM/0.125 mg IV ---• Repeat every 5 mins as needed ---• Maximum 5 doses ---• Hypertension and some medications (eg proteases) are a contraindication • Misoprostol

Flashcard 1414450253068

Tags

#obgyn

Question

PPH management - drug therapy:
• Oxytocin
---• 5 units IV bolus
---• 20-40 units/250mL in crystalloid
---• 10 units IM if CV collapse or no IV access
• Carbetocin (long-acting oxytocin)
---• 100ug IV/IM
• Hemabate (Carboprost/15-Methyl Prostaglandin F2a)
---• 250 ug IM or intramyometrial; repeat every 15 min as needed
---• Maximum cumulative dose 2 mg (8 doses)
---• Asthma a relative contraindication
• Methylergonovine maleate
---• 0.25 mg IM/[...] mg IV
---• Repeat every 5 mins as needed
---• Maximum 5 doses
---• Hypertension and some medications (eg proteases) are a contraindication
• Misoprostol (off-label use)
---• 600-800 ug po/sl (faster onset) or pr/pv
---• Side effect: Pyrexia if >600ug given
• Tranexamic Acid (cyklokapron)—antifibrinolytic
---• 1g IV

Answer

0.125

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
Methyl Prostaglandin F2a) ---• 250 ug IM or intramyometrial; repeat every 15 min as needed ---• Maximum cumulative dose 2 mg (8 doses) ---• Asthma a relative contraindication • Methylergonovine maleate ---• 0.25 mg IM/0.125 mg IV ---• Repeat every 5 mins as needed ---• Maximum 5 doses ---• Hypertension and some medications (eg proteases) are a contraindication • Misoprostol (off-label u

Flashcard 1414451825932

Tags

#obgyn

Question

PPH management - drug therapy:
• Oxytocin
---• 5 units IV bolus
---• 20-40 units/250mL in crystalloid
---• 10 units IM if CV collapse or no IV access
• Carbetocin (long-acting oxytocin)
---• 100ug IV/IM
• Hemabate (Carboprost/15-Methyl Prostaglandin F2a)
---• 250 ug IM or intramyometrial; repeat every 15 min as needed
---• Maximum cumulative dose 2 mg (8 doses)
---• Asthma a relative contraindication
• Methylergonovine maleate
---• 0.25 mg IM/0.125 mg IV
---• Repeat every [...] mins as needed
---• Maximum 5 doses
---• Hypertension and some medications (eg proteases) are a contraindication
• Misoprostol (off-label use)
---• 600-800 ug po/sl (faster onset) or pr/pv
---• Side effect: Pyrexia if >600ug given
• Tranexamic Acid (cyklokapron)—antifibrinolytic
---• 1g IV

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
250 ug IM or intramyometrial; repeat every 15 min as needed ---• Maximum cumulative dose 2 mg (8 doses) ---• Asthma a relative contraindication • Methylergonovine maleate ---• 0.25 mg IM/0.125 mg IV ---• Repeat every 5 mins as needed ---• Maximum 5 doses ---• Hypertension and some medications (eg proteases) are a contraindication • Misoprostol (off-label use) ---• 600-800 ug po/sl

Flashcard 1414453398796

Tags

#obgyn

Question

PPH management - drug therapy:
• Oxytocin
---• 5 units IV bolus
---• 20-40 units/250mL in crystalloid
---• 10 units IM if CV collapse or no IV access
• Carbetocin (long-acting oxytocin)
---• 100ug IV/IM
• Hemabate (Carboprost/15-Methyl Prostaglandin F2a)
---• 250 ug IM or intramyometrial; repeat every 15 min as needed
---• Maximum cumulative dose 2 mg (8 doses)
---• Asthma a relative contraindication
• Methylergonovine maleate
---• 0.25 mg IM/0.125 mg IV
---• Repeat every 5 mins as needed
---• Maximum [...] doses
---• Hypertension and some medications (eg proteases) are a contraindication
• Misoprostol (off-label use)
---• 600-800 ug po/sl (faster onset) or pr/pv
---• Side effect: Pyrexia if >600ug given
• Tranexamic Acid (cyklokapron)—antifibrinolytic
---• 1g IV

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
at every 15 min as needed ---• Maximum cumulative dose 2 mg (8 doses) ---• Asthma a relative contraindication • Methylergonovine maleate ---• 0.25 mg IM/0.125 mg IV ---• Repeat every 5 mins as needed ---• Maximum 5 doses ---• Hypertension and some medications (eg proteases) are a contraindication • Misoprostol (off-label use) ---• 600-800 ug po/sl (faster onset) or pr/pv ---• S

Flashcard 1414454971660

Tags

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Question

PPH management - drug therapy:
• Oxytocin
---• 5 units IV bolus
---• 20-40 units/250mL in crystalloid
---• 10 units IM if CV collapse or no IV access
• Carbetocin (long-acting oxytocin)
---• 100ug IV/IM
• Hemabate (Carboprost/15-Methyl Prostaglandin F2a)
---• 250 ug IM or intramyometrial; repeat every 15 min as needed
---• Maximum cumulative dose 2 mg (8 doses)
---• Asthma a relative contraindication
• Methylergonovine maleate
---• 0.25 mg IM/0.125 mg IV
---• Repeat every 5 mins as needed
---• Maximum 5 doses
---• [...] are a contraindication
• Misoprostol (off-label use)
---• 600-800 ug po/sl (faster onset) or pr/pv
---• Side effect: Pyrexia if >600ug given
• Tranexamic Acid (cyklokapron)—antifibrinolytic
---• 1g IV

Answer

Hypertension and some medications (eg proteases)

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
needed ---• Maximum cumulative dose 2 mg (8 doses) ---• Asthma a relative contraindication • Methylergonovine maleate ---• 0.25 mg IM/0.125 mg IV ---• Repeat every 5 mins as needed ---• Maximum 5 doses ---• Hypertension and some medications (eg proteases) are a contraindication • Misoprostol (off-label use) ---• 600-800 ug po/sl (faster onset) or pr/pv ---• Side effect: Pyrexia if >600ug given • Tranexamic Acid (cy

Annotation 1414456544524

#obgyn

postpartum endometritis can be cause of late PPH
-presents with fever, increased WBC, Hg can be normal
-delivery usually no issues

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414457855244

Tags

#obgyn

Question

postpartum endometritis can be cause of [...]
-presents with fever, increased WBC, Hg can be normal
-delivery usually no issues

Answer

late PPH

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
postpartum endometritis can be cause of late PPH -presents with fever, increased WBC, Hg can be normal -delivery usually no issues

Flashcard 1414459428108

Tags

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Question

postpartum endometritis can be cause of late PPH
-presents with [...]
-delivery usually no issues

Answer

fever, increased WBC, Hg can be normal

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
postpartum endometritis can be cause of late PPH -presents with fever, increased WBC, Hg can be normal -delivery usually no issues

Annotation 1414461000972

#obgyn

late PPH management:
- admit vs outpatient
---admit if fever, Hg 50
-oral abx, oral miso
-if admitted, IV Pit
-observe carefully over 24h

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414462311692

Tags

#obgyn

Question

late PPH management:
- admit vs outpatient
---admit if [...]
-oral abx, oral miso
-if admitted, IV Pit
-observe carefully over 24h

Answer

fever, Hg 50

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
late PPH management: - admit vs outpatient ---admit if fever, Hg 50 -oral abx, oral miso -if admitted, IV Pit -observe carefully over 24h

Flashcard 1414463884556

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Question

late PPH management:
- admit vs outpatient
---admit if fever, Hg 50
-oral [...]
-if admitted, IV Pit
-observe carefully over 24h

Answer

abx, oral miso

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
late PPH management: - admit vs outpatient ---admit if fever, Hg 50 -oral abx, oral miso -if admitted, IV Pit -observe carefully over 24h

Flashcard 1414465457420

Tags

#obgyn

Question

late PPH management:
- admit vs outpatient
---admit if fever, Hg 50
-oral abx, oral miso
-if admitted, [...]
-observe carefully over 24h

Answer

IV Pit

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
late PPH management: - admit vs outpatient ---admit if fever, Hg 50 -oral abx, oral miso -if admitted, IV Pit -observe carefully over 24h

Annotation 1414524439820

#deleuze #guattari

But what is a rhizome, anyway? In the words of the text: “A rhizome as subterranean stem is absolutely different from roots and radicles. Bulbs and tubers are rhizomes” (7). As is the potato, or any structure in which each point is necessarily connected to each other point, in which no location may become a beginning or an end, yet the whole is heterogeneous. Deleuze labels the rhizome as a “multiplicity,” rather than a “multiple,” wresting it from any relation to “the One” (8). The rhizome likewise resists structures of domination, such as the notion of “the mother tongue” in linguistics, though it does admit to ongoing cycles of what Deleuze refers to as “deterritorializing” and “reterritorializing” moments.

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Deleuze and Guattari, "Rhizome" annotation by Dan Clinton
zome with the world, there is an aparallel evolution of the book and the world” (11). This model, framed metaphorically around rhizomorphism, also extends itself within the text to the study of linguistics and politics. But what is a rhizome, anyway? In the words of the text: “A rhizome as subterranean stem is absolutely different from roots and radicles. Bulbs and tubers are rhizomes” (7). As is the potato, or any structure in which each point is necessarily connected to each other point, in which no location may become a beginning or an end, yet the whole is heterogeneous. Deleuze labels the rhizome as a “multiplicity,” rather than a “multiple,” wresting it from any relation to “the One” (8). The rhizome likewise resists structures of domination, such as the notion of “the mother tongue” in linguistics, though it does admit to ongoing cycles of what Deleuze refers to as “deterritorializing” and “reterritorializing” moments. Where the potato is the hero of this story, the tree becomes the villain. “Arborescent” is a dirty word. “We’re tired of trees,” writes Deleuze, “We

Annotation 1414526012684

#deleuze #guattari

As such, “Rhizome” rapidly seeks to extinguish every last trace of Hegelianism, particularly from the object of the book: “There is no longer a tripartite division between a field of reality (the world) and a field of representation (the book) and a field of subjectivity (the author). Rather, an assemblage establishes connections between certain multiplicities drawn from each of these orders, so that a book has no sequel nor the world as its object nor one or several authors as its subject.” Likewise, this essay refuses ontological thought, accepting the state of intermediacy, the logic of the conjunction, which perhaps explains the tendency in the prose toward polysyndeton.

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Deleuze and Guattari, "Rhizome" annotation by Dan Clinton
between subject and object, between signifier and signified, encompassing the whole of dualistic logic through its branching patterns, through its definitions of set pathways between root and branch. As such, “Rhizome” rapidly seeks to extinguish every last trace of Hegelianism, particularly from the object of the book: “There is no longer a tripartite division between a field of reality (the world) and a field of representation (the book) and a field of subjectivity (the author). Rather, an assemblage establishes connections between certain multiplicities drawn from each of these orders, so that a book has no sequel nor the world as its object nor one or several authors as its subject.” Likewise, this essay refuses ontological thought, accepting the state of intermediacy, the logic of the conjunction, which perhaps explains the tendency in the prose toward polysyndeton. That the text is titled Rhizome does not amount to a statement of topic (for the essay refuses objects and signifieds) but rather a statement of id

Annotation 1414527585548

#deleuze #guattari

That the text is titled Rhizome does not amount to a statement of topic (for the essay refuses objects and signifieds) but rather a statement of identity.

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Deleuze and Guattari, "Rhizome" annotation by Dan Clinton
as its subject.” Likewise, this essay refuses ontological thought, accepting the state of intermediacy, the logic of the conjunction, which perhaps explains the tendency in the prose toward polysyndeton. That the text is titled Rhizome does not amount to a statement of topic (for the essay refuses objects and signifieds) but rather a statement of identity. The prose is dense and schizophrenic. The essay consists not in an argument, but in the ecstatic elaboration of a metaphor, a web of interconnected

Annotation 1414529158412

#deleuze #guattari

The prose is dense and schizophrenic. The essay consists not in an argument, but in the ecstatic elaboration of a metaphor, a web of interconnected concepts, the development of a new vocabulary without a pause for explanation or so much as a simple definition. Deleuze’s metaphor applies even to the very text in which it comes into being. The text bypasses the static act of description: an enactment is at hand. Or, by the essay’s own distinction, Rhizome is a mapping rather than a tracing. Deleuze writes, “What distinguishes the map from the tracing is that it is entirely oriented toward an experimentation in contact with the real. The map does not reproduce an unconscious closed in upon itself; it constructs the unconscious” (12).

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Deleuze and Guattari, "Rhizome" annotation by Dan Clinton
cy in the prose toward polysyndeton. That the text is titled Rhizome does not amount to a statement of topic (for the essay refuses objects and signifieds) but rather a statement of identity. The prose is dense and schizophrenic. The essay consists not in an argument, but in the ecstatic elaboration of a metaphor, a web of interconnected concepts, the development of a new vocabulary without a pause for explanation or so much as a simple definition. Deleuze’s metaphor applies even to the very text in which it comes into being. The text bypasses the static act of description: an enactment is at hand. Or, by the essay’s own distinction, Rhizome is a mapping rather than a tracing. Deleuze writes, “What distinguishes the map from the tracing is that it is entirely oriented toward an experimentation in contact with the real. The map does not reproduce an unconscious closed in upon itself; it constructs the unconscious” (12). The University of Chicago • [emptylink]The Chicago

Annotation 1414546459916

#corpfinance

Capital budgeting is the process of planning expenditures on assets (fixed assets) whose cash flows are expected to extend beyond one year. Managers analyze projects and decide which ones to include in the capital budget.

"Capital" refers to long-term assets.
The "budget" is a plan which details projected cash inflows and outflows during a future period.

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Annotation 1414548294924

#corpfinance

The typical steps in the capital budgeting process:

Generating good investment ideas to consider.
Analyzing individual proposals (forecasting cash flows, evaluating profitability, etc.).
Planning the capital budget. How does the project fit within the company's overall strategies? What's the timeline and priority?
Monitoring and post-auditing. The post-audit is a follow-up of capital budgeting decisions. It is a key element of capital budgeting. By comparing actual results with predicted results and then determining why differences occurred, decision-makers can:
- Improve forecasts (based on which good capital budgeting decisions can be made). Otherwise, you will have the GIGO (garbage in, garbage out) problem.
- Improve operations, thus making capital decisions well-implemented.

status	not read	reprioritisations
last reprioritisation on		suggested re-reading day
started reading on		finished reading on

Flashcard 1414555634956

Question

Steroid hormones are synthesized? (4)

Answer

Adrenal cortex, gonads, corpus luteum, and placenta.

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Parent (intermediate) annotation

Open it
Steroid hormones are synthesized and secreted by the adrenal cortex, gonads, corpus luteum, and pla- centa.

Original toplevel document (pdf)

cannot see any pdfs

Flashcard 1414587354380

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Question

postpartum mood disorder is an early/late complication?

Answer

late

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414589451532

Tags

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Question

What are the 6 B's covered in the 6 week postpartum visit?

Answer

Bleeding
Baby (how's baby doing)
Bladder (is peeing okay)
Bum (perineum & stitches)
Blues (mood)
Birth control (address co-morbidities, PAP smear if due)

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414593121548

Tags

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Question

postpartum blues sx's begin [...] days postpartum

Answer

3-4

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414594956556

Tags

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Question

postpartum blues peak on the [...] day postpartum

Answer

5th

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414596791564

Tags

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Question

postpartum blues last [...] days

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414598888716

Tags

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Question

List 5 characteristics of postpartum mood disorders:

Answer

• Mood lability - from elation to sadness
• Irritability
• Tearfulness
• Low spirit (rather than sadness)
• Anxiety
• Feeling overwhelmed
• Decreased concentration
• Insomnia

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414600723724

Tags

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Question

List 5 risk factors for postpartum mood disorders:

Answer

• History of depression
• Antepartum history of depression
• Family history of depression
• Premenstrual or oral contraceptive associated mood changes
• Psychological impairment around work, relationships, and leisure activities

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414602558732

Tags

#obgyn

Question

List 5 points on treatments for postpartum mood disorders:

Answer

• Self-limiting, resolves with conservative management
• Reassurance
• Family support
• Ensuring adequate sleep
• Limited use of benzodiazepine for insomnia (risks of addiction and crosses breast milk)
• Further evaluation if symptoms persist (increased risk of postpartum depression)

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414604393740

Tags

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Question

Postpartum depression may start in the [...] or [...] period

Answer

prenatal (and extend into postpartum) or postpartum period

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414606228748

Tags

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Question

List 5 PPD (and MDD) sx's:

Answer

• Depressed mood
• Diminished interest
• Loss of concentration
• Loss of appetite
• Feeling of worthlessness
• Excessive guilt
• Loss of energy
• Significant weight loss of gain
• Psychomotor retardation or agitation
• Recurrent thoughts of suicide or death

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414608063756

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Question

Postpartum depression:
-The presence of [...] or more of MDD symptoms for a period of two weeks or more

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
Postpartum depression: -The presence of 5 or more of MDD symptoms for a period of two weeks or more

Flashcard 1414609636620

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Question

Postpartum depression:
-The presence of 5 or more of MDD symptoms for a period of [...] weeks or more

Answer

two

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
Postpartum depression: -The presence of 5 or more of MDD symptoms for a period of two weeks or more

Flashcard 1414612520204

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#obgyn

Question

List 5 risk factors for PPD:

Answer

• Depression during pregnancy
• Anxiety during pregnancy
• Low levels of social support
• Previous history of depression
• Infant temperament
• Poor Marital adjustment
• Low self esteem
• Postpartum blues
• Unplanned/unwanted pregnancy
• Abuse of the mother
• History of psychiatric disorder in the mother

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414614355212

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Question

[...] and [...] are drug classes used for pharmacologic treatment of PPD

Answer

antidepressants & TCAs

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414616190220

Tags

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Question

What are classes of antidepressants used for PPD?

Answer

SSRIs (Sertraline (Zoloft)), Fluoxetine (Prozac) and Paroxetine (Paxil)

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414618025228

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Question

What are classes of TCAs used in PPD?

Answer

Amitriptyline (Elavil) and Imipramine (Tofranil)

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414619860236

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Question

Antidepressants may take up to [...] weeks before a therapeutic level is reached in PPD

Answer

4-6

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414621695244

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Question

What risk may increase during initial period of PPD treatment?

Answer

suicide

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414623530252

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Question

Continue pharmacologic treatment of PPD for [...] after full remission to minimize risk of relapse.

Answer

1 year

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414625365260

Tags

#obgyn

Question

Sx's of postpartum psychosis usually occur within [...] of childbirth but remain high for [...] after delivery

Answer

first 2 weeks; months

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414627200268

Tags

#obgyn

Question

list 3 clinical features of postpartum psychosis:

Answer

• Loss of touch with reality
• Alternating lucidity and psychosis
• Impairment of functioning
• Delusions
• Hallucinations
• Symptoms of depression: low mood, feeling of worthlessness and guilt
• Manic symptoms: mood elation, distractibility and increased activity

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414629035276

Tags

#obgyn

Question

List 3 risk factors for postpartum psychosis:

Answer

• Background history of depression, mania, schizophrenic or schizoaffective disorder
• Severe life event in the preceding year
• Pre-existing psychotic illness or bipolar disorder
• Young age
• Primiparity
• Family history of psychiatric illness

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414630870284

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Question

postpartum psychosis is a [...]

Answer

psychiatric emergency

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414632705292

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#obgyn

Question

List 3 treatments for postpartum psychosis:

Answer

• Hospitalization may be necessary
• Mood stabilizers + antipsychotics (relationship between psychosis and bipolar disorder)
• Lithium – teratogenic concerns, excreted in breast milk, toxicity has been reported in breastfed infants
• Clozapine – an atypical antipsychotic can be used
• ECT – can be effective

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414634540300

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Question

What is postpartum thyroiditis?

Answer

A destructive thyroiditis induced by an autoimmune mechanism within one year after parturition.

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414636375308

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Question

in postpartum thyroiditis, there is a sequence of [...] followed by a period of [...], then recovery.

Answer

hyperthyroidism ; hypothyroidism

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414638210316

Tags

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Question

List 5 sx's of hyperthyroidism in postpartum thyroiditis:

Answer

fatigue, weight loss, palpitations, heat intolerance, anxiety, irritability, tremor etc.

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414638734604

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Question

List 5 sx's of hypothyroidism in postpartum thyroiditis

Answer

lack of energy, constipation, cold intolerance, dry skin and sluggishness.

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414641880332

Tags

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Question

There may be [...] level of T3 and T4, [...] TSH in the hyperthyroid state in postpartum thyroiditis

Answer

elevated or high normal; low

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414642404620

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Question

The TSH is [...] in the hypothyroid state in postpartum thyroiditis

Answer

low

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414645550348

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Question

What is the tx of postpartum thyroiditis in asx women?

Answer

observation and monitoring of Thyroid function tests (TFT) every 4 to 8 weeks until resolution or progression to permanent hypothyroidism.

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414647385356

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Question

What is the tx of postpartum thyroiditis in symptomatic hyperthyroidism?

Answer

treat with Propanolol or Atenolol until TFT become normal.

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414649220364

Tags

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Question

What is the tx of postpartum thyroiditis in symptomatic hypothyroidism of TSH >10mU/L?

Answer

treat with Levothyroxine 50-100mcg/day

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414651055372

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Question

Postpartum breast engorgement results from [...] and [...] of the breasts

Answer

congestion ; increased vascularity

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414652890380

Tags

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Question

postpartum breast engorgement causes:

Answer

breast fullness, firmness, pain and tenderness or a transient fever

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414654725388

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Question

breast engorgement usually occurs within [...] hours of birth

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414656560396

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Question

What is the tx for postpartum breast engorgement?

Answer

-exclude other causes of fever
-Treat with analgesia - acetaminophen
-breast support, ice packs

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414658395404

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Question

What is mastitis?

Answer

Inflammation of the mammary glands

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414660230412

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Question

When does mastitis usually occur?

Answer

Usually occurs when breastfeeding is well established, weeks and months after delivery

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414660754700

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Question

postpartum mastitis is almost always [uni/bilat]

Answer

unilateral

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414663900428

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Question

The breast is [describe characteristics] in mastitis

Answer

hard, red, fluctuant and painful

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414665735436

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Question

Mastitis is preceded by [...], followed by fever, chills and tachycardia

Answer

breast engorgement

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
Mastitis is preceded by breast engorgement, followed by fever, chills and tachycardia

Flashcard 1414667308300

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Question

Mastitis is preceded by breast engorgement, followed by [...]

Answer

fever, chills and tachycardia

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Open it
Mastitis is preceded by breast engorgement, followed by fever, chills and tachycardia

Flashcard 1414670191884

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Question

What is the commonest organism causing mastitis?

Answer

staph aureus (from infant)

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414670716172

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Question

List 3 treatments for postpartum mastitis:

Answer

• Culture breast milk
• Commence antibiotic therapy as soon as possible before abscess formation
• Staphylococcus aureus is sensitive to Penicillin and Cephalosporin
• Use erythromycin if Penicillin allergic
• Vancomycin if methicillin-resistant staphylococcus (MRSA)
• Encourage continuing breast feeding to minimise the risk of abscess formation
• Breast pumping if unable to breast feed

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414673861900

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Question

Postpartum breast abscess requires [...] under general anesthesia

Answer

drainage

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414675696908

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Question

Baby feeding well if soaking ~ [...] diapers/day

Answer

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414677531916

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Question

baby getting enough milk if by day [...] , has [...] stools per day.

Answer

day 3; 2-3 stools

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414679366924

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Question

What can you give for not enough milk production?

Answer

domperidone 30mg po TID

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414679891212

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Question

List 5 acceptable drugs during breastfeeding:

Answer

• Analgesics: acetaminophen, non-steroidal anti-inflammatory (NSAIDs), sumatriptan
• Anticoagulants: acenocoumarol, heparin
• Antidepressants: Sertraline, Fluoxetine
• Antiepileptics: Phenytoin, carbamazepine, valproic acid
• Antihistamines
• Antimicrobials
• Beta adrenergics: propranolol, labetalol
• Insulin
• Steroids

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414683036940

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Question

List 3 medications contraindicated in breastfeeding

Answer

• Bromocriptine: causes milk suppression
• Cyclophosphamide: suppresses immune system
• Cocaine: intoxication
• Lithium, phenindione, radioactive iodine, methotrexate, cyclosporin

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Flashcard 1414684871948

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Question

List 5 contraindications to breastfeeding:

Answer

• Women who abuse drugs and alcohol
• Infant with galactosemia
• HIV infection
• Untreated tuberculosis
• Hepatitis C
• Hepatitis B not contraindicated, as long as the baby is vaccinated (at birth, 1 and 6 months of life). Cytomegalovirus is transmitted in breast milk. However, the colonization does not lead to actual disease because of IgG transfer via the placenta during the pregnancy.

status	not learned	measured difficulty	37% [default]	last interval [days]
repetition number in this series	0	memorised on		scheduled repetition
scheduled repetition interval		last repetition or drill

Edited, memorised or added to reading queue

on 02-Nov-2016 (Wed)

Parent (intermediate) annotation

Original toplevel document (pdf)