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on 02-Nov-2016 (Wed)

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Flashcard 1414276713740

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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


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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. • <span>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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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
2


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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 <span>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


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). • 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 <span>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


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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 <span>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


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• 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. • <span>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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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 <span>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
6


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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 <span>6 weeks. • Tubal sterilization can be performed during Caesarean section, immediately postpartum after a vaginal delivery or as an interval procedure.<span><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


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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 <span>Caesarean section, immediately postpartum after a vaginal delivery or as an interval procedure.<span><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


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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, <span>immediately postpartum after a vaginal delivery or as an interval procedure.<span><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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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 <span>an interval procedure.<span><body><html>







#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

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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.


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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.


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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







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.


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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.&#13







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.


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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

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#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


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• 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 <span>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,


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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: <span>prolonged rupture of membranes and labour, multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.<span><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


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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, <span>multiple vaginal examinations, use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.<span><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


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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, <span>use of internal fetal monitoring, intrapartum chorioamnionitis, caesarean section.<span><body><html>







Flashcard 1414306336012

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, use of internal fetal monitoring, [...], caesarean section.
Answer
intrapartum chorioamnionitis


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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, <span>intrapartum chorioamnionitis, caesarean section.<span><body><html>







Flashcard 1414307908876

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, use of internal fetal monitoring, intrapartum chorioamnionitis, [...].
Answer
caesarean section


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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, <span>caesarean section.<span><body><html>







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

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Flashcard 1414310792460

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


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







Flashcard 1414312365324

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#obgyn
Question
postpartum endometritis investigations:
- complete blood count (may show neutrophilia), [...] cultures.
Answer
vaginal, blood and urine


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







Flashcard 1414313938188

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Question
tx of mild endometritis postpartum
Answer
Patients who are well can be treated with oral antibiotics on an outpatient basis.


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#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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Flashcard 1414317083916

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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


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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

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#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


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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 Gen







Flashcard 1414321802508

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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
8


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 dosing is convenient and does not require Gentamicin levels. <







Flashcard 1414323375372

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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 dosing is convenient and does not require Gentamicin levels.







Flashcard 1414327569676

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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 [...] hours or Extended interval dosing of Gentamicin 5mg/kg every 24 hours. The extended dosing is convenient and does not require Gentamicin levels.
Answer
8


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 dosing is convenient and does not require Gentamicin levels.







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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 dosing is convenient and does not require Gentamicin levels.







Flashcard 1414330715404

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 Extended interval dosing of Gentamicin 5mg/kg every [...] hours. The extended dosing is convenient and does not require Gentamicin levels.
Answer
24


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 <span>24 hours. The extended dosing is convenient and does not require Gentamicin levels. <span><body><html>







Flashcard 1414332288268

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Question
IV antibiotics should be continued in postpartum endometritis until the patient is clinically improved and afebrile for [...] ​ hours.
Answer
24- 48


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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.

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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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)


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 <span>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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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 <span>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
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 [...].
Answer
uterine scarring/ Asherman’s syndrome


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 <span>uterine scarring/ Asherman’s syndrome. <span><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)


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 <span>antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome. <span><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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 <span>necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome. <span><body><html>







Flashcard 1414344871180

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Question
What is postpartum hemorrhage?
Answer
Blood loss of > 500mL following vaginal delivery and > 1000mL after CS


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

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Flashcard 1414351162636

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


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







Flashcard 1414353259788

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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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postpartum hemorrhage: Can be classified as early (within 24 hours of delivery) and late (after 24 hours but before 6 weeks)







Flashcard 1414354832652

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Question
What is the most common cause for early postpartum hemorrhage?
Answer
90% is uterine atony


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 1414356667660

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Question
early PPH is rarely due to ...
Answer
retained products/lacerations/coagulopathies


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 1414359026956

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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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#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.

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Flashcard 1414362172684

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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 o







Flashcard 1414363745548

Tags
#obgyn
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)


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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. Digital exam along the cord to determine whether the placenta is at th







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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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 . <span>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
15


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 <span>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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 <span>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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 <span>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.<span><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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 <span>completeness 8 . Examine external genitalia and internal genital tract for lacerations, hematomas.<span><body><html>







Flashcard 1414374755596

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 completeness
8 . Examine external genitalia and internal genital tract for [...]
Answer
lacerations, hematomas.


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 <span>lacerations, hematomas.<span><body><html>







#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

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Flashcard 1414377639180

Tags
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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


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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

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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


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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

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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


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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







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


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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 coagulopathy







Flashcard 1414383930636

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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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







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


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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







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


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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







Flashcard 1414388649228

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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


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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<span><body><html>







#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

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

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Flashcard 1414392057100

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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


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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
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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


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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</b







Flashcard 1414395202828

Tags
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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)


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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







Flashcard 1414396775692

Tags
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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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







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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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
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Question
PPH management - get help:
[...]
• Notify lab of potential need for massive transfusion
Answer
Get additional personnel to manage resuscitation


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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


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







#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.

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Flashcard 1414405164300

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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


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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

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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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.







Flashcard 1414408310028

Tags
#obgyn
Question
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 [...] if analgesia allows.
Answer
retained products, uterine inversion or uterine rupture


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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.







#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

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Flashcard 1414411193612

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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


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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

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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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

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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


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







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

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Flashcard 1414417222924

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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Open it
PPH management - empty bladder: may insert Foley catheter to keep bladder empty (which helps keep uterus contracted) and monitor urine output







#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

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#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

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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)


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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 1414430854412

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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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>







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

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Flashcard 1414434524428

Tags
#obgyn
Question
PPH management - coagulopathy:
[...]
• Cryoprecipitate
• Platelets
• Packed red blood cells
Answer
FFP (fresh frozen plasma)


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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
5


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 • Hemabate (Carboprost/15-Methyl Pros







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
10


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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 • Hemabate (Carboprost/15-Methyl Prostaglandin F2a) ---• 250 ug IM or in







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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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) ---• <span>600-800 ug po/sl (faster onset) or pr/pv ---• Side effect: Pyrexia if >600ug given • Tranexamic Acid (cyklokapron)—antifibrinolytic ---• 1g IV<span><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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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 <span>>600ug given • Tranexamic Acid (cyklokapron)—antifibrinolytic ---• 1g IV<span><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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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 ---• <span>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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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/<span>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
5


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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 <span>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
5


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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 <span>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
#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
---• [...] 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)


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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 ---• <span>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







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

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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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
#obgyn
Question
postpartum endometritis can be cause of late PPH
-presents with [...]
-delivery usually no issues
Answer
fever, increased WBC, Hg can be normal


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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







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

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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised 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

Tags
#obgyn
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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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







#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.

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Deleuze and Guattari, &quot;Rhizome&quot; 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. <span>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




#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.

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Deleuze and Guattari, &quot;Rhizome&quot; 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. <span>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




#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.

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Deleuze and Guattari, &quot;Rhizome&quot; 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. <span>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




#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).

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Deleuze and Guattari, &quot;Rhizome&quot; 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. <span>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




#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.

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#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.

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Flashcard 1414555634956

Question
Steroid hormones are synthesized? (4)
Answer
Adrenal cortex, gonads, corpus luteum, and placenta.


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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

Tags
#obgyn
Question
postpartum mood disorder is an early/late complication?
Answer
late


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 1414589451532

Tags
#obgyn
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)


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 1414593121548

Tags
#obgyn
Question
postpartum blues sx's begin [...] ​days postpartum
Answer
3-4


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 1414594956556

Tags
#obgyn
Question
postpartum blues peak on the [...] ​day postpartum
Answer
5th


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 1414596791564

Tags
#obgyn
Question
postpartum blues last [...] ​ days
Answer
10


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
scheduled repetition interval               last repetition or drill






Flashcard 1414598888716

Tags
#obgyn
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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
repetition number in this series0memorised on               scheduled repetition               
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Flashcard 1414600723724

Tags
#obgyn
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


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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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)


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 1414604393740

Tags
#obgyn
Question
Postpartum depression may start in the [...] ​ or [...] ​ period
Answer
prenatal (and extend into postpartum) or postpartum period


statusnot learnedmeasured difficulty37% [default]last interval [days]               
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Flashcard 1414606228748

Tags
#obgyn
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


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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
5


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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


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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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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


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Flashcard 1414614355212

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Question
[...] and [...] are drug classes used for pharmacologic treatment of PPD
Answer
antidepressants & TCAs


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Flashcard 1414616190220

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Question
What are classes of antidepressants used for PPD?
Answer
SSRIs (Sertraline (Zoloft)), Fluoxetine (Prozac) and Paroxetine (Paxil)


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Flashcard 1414618025228

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Question
What are classes of TCAs used in PPD?
Answer
Amitriptyline (Elavil) and Imipramine (Tofranil)


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Flashcard 1414619860236

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Question
Antidepressants may take up to [...] ​ weeks before a therapeutic level is reached in PPD
Answer
4-6


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Flashcard 1414621695244

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Question
What risk may increase during initial period of PPD treatment?
Answer
suicide


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Flashcard 1414623530252

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


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Flashcard 1414625365260

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Question
Sx's of postpartum psychosis usually occur within [...] ​of childbirth but remain high for [...] ​after delivery
Answer
first 2 weeks; months


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Flashcard 1414627200268

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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


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Flashcard 1414629035276

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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


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Flashcard 1414630870284

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Question
postpartum psychosis is a [...]
Answer
psychiatric emergency


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Flashcard 1414632705292

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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


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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.


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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


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Flashcard 1414638210316

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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.


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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.


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Flashcard 1414641880332

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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


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Flashcard 1414642404620

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Question
The TSH is [...] ​in the hypothyroid state in postpartum thyroiditis
Answer
low


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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.


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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.


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Flashcard 1414649220364

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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


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Flashcard 1414651055372

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Question
Postpartum breast engorgement results from [...] ​and [...] ​ of the breasts
Answer
congestion ; increased vascularity


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Flashcard 1414652890380

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Question
postpartum breast engorgement causes:
Answer
breast fullness, firmness, pain and tenderness or a transient fever


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Flashcard 1414654725388

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Question
breast engorgement usually occurs within [...] ​hours of birth
Answer
24


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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


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Flashcard 1414658395404

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Question
What is mastitis?
Answer
Inflammation of the mammary glands


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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


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Flashcard 1414660754700

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Question
postpartum mastitis is almost always [uni/bilat]
Answer
unilateral


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Flashcard 1414663900428

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Question
The breast is [describe characteristics] ​ in mastitis
Answer
hard, red, fluctuant and painful


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Flashcard 1414665735436

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Question
Mastitis is preceded by [...], followed by fever, chills and tachycardia
Answer
breast engorgement


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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


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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)


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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


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Flashcard 1414673861900

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Question
Postpartum breast abscess requires [...] ​ under general anesthesia
Answer
drainage


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Flashcard 1414675696908

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Question
Baby feeding well if soaking ~ [...] ​diapers/day
Answer
6


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Flashcard 1414677531916

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Question
baby getting enough milk if by day [...] ​, has [...] ​stools per day.
Answer
day 3; 2-3 stools


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Flashcard 1414679366924

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Question
What can you give for not enough milk production?
Answer
domperidone 30mg po TID


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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


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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


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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.


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