0071643192.pdf

DIAGNOSIS ■ AXR may show “thumb-printing”orpneumonitis intesinalis, which are late findings. Early findings include paucity of i ...

CHAPTER 12 Obstetrics and Gynecology Danielle D. Campagne, MD Ectopic Pregnancy 585 First Trimester Bleeding 588 SPONTANEOUSABOR ...

Emergency Contraception 599 Bacterial Vaginosis 601 Candida Vulvovaginitis 601 Trichomoniasis 602 Herpes Simplex Virus (HSV) 603 ...

OBSTETRICS AND GYNECOLOGY A 33-year-old female presents to the ED with left lower-quadrant pain. Her LMP was 2 months ago. Vital ...

OBSTETRICS AND GYNECOLOGY 586 ■ A modern copper IUD does not increase the risk of ectopic compared to no contraception, but if a ...

OBSTETRICS AND GYNECOLOGY ■ Culdocentesis (placement of a needle through the posterior wall of the vagina to aspirate blood in t ...

OBSTETRICS AND GYNECOLOGY 588 TREATMENT Treatment is guided by the patient’s hemodynamic status, quantitative β-hCG, and ultraso ...

OBSTETRICS AND GYNECOLOGY ■ Missed abortion: In utero death of the fetus prior to 20 weeks gestation with retention of the produ ...

OBSTETRICS AND GYNECOLOGY 590 ■ “Mini-RhoGAM” (50 μg) can be used for patients <13 weeks gestation. ■ Give within 72 hours of ...

OBSTETRICS AND GYNECOLOGY ■ Fetus distress is suggested by: HR <120, or >160, decelerations after uter- ine irritability, ...

OBSTETRICS AND GYNECOLOGY 592 DIAGNOSIS Confirm PROM with a sterile speculum exam showing: ■ A pool of fluid in the posterior fo ...

OBSTETRICS AND GYNECOLOGY ■ Preeclampsia superimposed upon chronic hypertension: Defined by new onset proteinuria after 20 weeks ...

OBSTETRICS AND GYNECOLOGY 594 HELLP syndrome: Hemolysis ElevatedLiver enzymes LowPlatelets ■ Treat preeclampsia, as above. ■ Cor ...

OBSTETRICS AND GYNECOLOGY ■ Ketonemia ■ No abdominal tenderness on exam DIFFERENTIAL Includes obstetric and nonobstetric causes ...

OBSTETRICS AND GYNECOLOGY 596 Normal Vertex Delivery Emergency delivery often proceeds rapidly and requires minimal help from th ...

OBSTETRICS AND GYNECOLOGY Shoulder Dystocia A failure of the fetal shoulders to deliver after delivery of the fetal head; occurs ...

OBSTETRICS AND GYNECOLOGY 598 CAUSES The causes of postpartum hemorrhage include: ■ Uterine atony (most common) ■ Uterine ruptur ...

OBSTETRICS AND GYNECOLOGY DIAGNOSIS ■ Ultrasound is the imaging test of choice. Postpartum Infections ENDOMETRITIS Polymicrobial ...

OBSTETRICS AND GYNECOLOGY 600 TABLE 12.3. Vaccines and Medications Contraindicated During Pregnancy Vaccines (any live vaccines) ...

OBSTETRICS AND GYNECOLOGY ■ RU-486 (mifepristone):A steroid that blocks progesterone receptors ■ A 10-mg dose is as effective as ...