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MCCQE Review: Gynecology
MCCQE Review: Gynecology

... - this reduces signal transmission and causes a post receptor problem and glucose transport decreases - this phosphorylation of serine may increase the activity of enzymes that make androgens in both the ovaries and adrenals ...
Breast Health - Linda Baier Files
Breast Health - Linda Baier Files

... fluid-filled sacs that are tender Ultrasound for women < 30 or pregnant Ultrasound + mammogram for women > 30 Simple cyst = fluid only Complicated cyst = fluid and solids Refer to breast or surgical clinic; simple cysts may resolve with aspiration ...
Document
Document

... commonly used for women with ovulatory infertility undergoing “controlled ovarian hyperstimulation” with gonadotropins in the setting of IVF. • The goal is to suppress pituitary gonadotropins to optimize control of the cycle and prevent a surge of endogenous LH prior to full maturation of the cohort ...
ob ultrasound
ob ultrasound

... medical necessity criteria that follow are guidelines for the provision of diagnostic imaging. These criteria are designed to guide both providers and reviewers to the most appropriate diagnostic tests based on a patient’s unique circumstances. In all cases, clinical judgment consistent with the sta ...
Gonorrhea, Chlamydia, and Syphilis
Gonorrhea, Chlamydia, and Syphilis

... bacteria and viruses that cause infection. Cervix: The opening of the uterus at the top of the vagina. Chancre: A sore caused by syphilis and appearing at the place of infection. Ectopic Pregnancy: A pregnancy in which the fertilized egg begins to grow in a place other than inside the uterus, usuall ...
File - Developing Anaesthesia
File - Developing Anaesthesia

... Hypercarbia can increase sympathetic stimulation of the splanchnic vasculature decreasing portal blood flow. ...
Life Span development
Life Span development

... Humans evolve over their life span Paramedics must be aware of the changes that occur a each stage of life Paramedics need to adjust care based on patient’s life stage. ...
Altered Cerebral Function & Increased Intracranial Pressure
Altered Cerebral Function & Increased Intracranial Pressure

... < 60 - peripheral organs not perfused < 50 – brain not perfused Critical to maintain normal MAP with Increased ICP ...
Inotropes and fluids
Inotropes and fluids

... offloads the right ventricle • Does not increase intracellular calcium – less arrhythmogenic than PDEIs ...
Levothyroxine is a synthetic homologue of the naturally occurring
Levothyroxine is a synthetic homologue of the naturally occurring

... Levothyroxine is a synthetic homologue of the naturally occurring thyroid hormone, Thyroxine (T 4). Levothyroxine is converted to the more biologically active triiodothyronine (T3). T3 binds via specific receptors within the plasma membrane, mitochondria and chromatin resulting in changes in DNA tra ...
OBSTETRICS &amp; GYNAECOLOGY 

OBSTETRICS & GYNAECOLOGY 


... o positive in the serum at 9 days post-conception o positive in the urine 28 days after LMP (last menstrual period) transvaginal U/S o 5 weeks: gestational sac visible (ßhCG = 1,200-1,500 mIU/mL) o 6 weeks: fetal pole seen o 7-8 weeks: fetal heart tones visible transabdominal U/S o 6-8 weeks: intrau ...
From Medscape Medical News CME
From Medscape Medical News CME

... true to some degree, but there also appears to be a weight-independent effect that some of these medications have more than others." For instance, Dr. Correll said, olanzapine appeared to adversely affect both glucose and lipid metabolism, whereas quetiapine and risperidone had a much more benign a ...
Menstruation
Menstruation

... Menstruation, menstrual periods, menses, or periods are all terms used to describe women’s monthly bleeding. Most menstrual periods last from about 3 to 5 days. Menarche is the time when a girl gets her first period. The average age of menarche in the United States is 12 years old, but anywhere betw ...
Women and HIV - AIDS Education and Training Centers
Women and HIV - AIDS Education and Training Centers

... age, and clinical symptoms, HIV-1 RNA levels were 32% to 50% lower in women than in men at CD4+ counts >200 cells/mm3  Despite lower viral loads, HIV disease progresses at the same rate in women as in men (Rezza et al., 2000) ...
7.hyperkalemia
7.hyperkalemia

... 4) Familiar hyperkalemic periodic paralysis is a rare genetic disease, in which the serum [K+] is suddenly increased, so the paralysis occurs. 5) Blood concentration 6)Pseudohyperkalemia may occur if the RBC destruction happens during draw of blood for lab investigation. ...
to presentation
to presentation

...  Small sample size  I/E criteria limits generalizability  Nicotine exposure and effect on NAS ...
Nursing Diagnosis: Risk for bleeding r/t uterine atony relaxation
Nursing Diagnosis: Risk for bleeding r/t uterine atony relaxation

... progress of involution. Although postpartum hemorrhage often occurs within hours of birth, a delayed hemorrhage can occur due to subinvolution which is failure to return to normal size. This patient’s fundus was progressing well 2 fingerbreadths below this umbilicus on second day post partum. Olds ...
Test 1 CLIs Spring 2013
Test 1 CLIs Spring 2013

... antithyroid, lithium, potassium iodide, and TSH injection ...
Trauma In The Pregnant Patient: An Evidence
Trauma In The Pregnant Patient: An Evidence

... Resting heart rate increases approximately 10 to 15 beats per minute to accommodate a higher circulatory demand, while resting arterial blood pressure typically declines during the second trimester and slowly recovers to baseline near term. Any evidence of relative hypertension suggests the possibil ...
Treatment of sexually transmitted and other genital infections
Treatment of sexually transmitted and other genital infections

... presentation as interpretation can be difficult. Aciclovir 200 mg 5 x/day for 5 days or Aciclovir 400 mg tid for 7 days Antiviral treatment may still be appropriate if patient presents >72 hours after development of symptoms if new lesions are developing or symptoms are severe. Lignocaine gel 2% as ...
EMR - Palmetto Health
EMR - Palmetto Health

... – Did you have sex within the past 24 hours? ...
Therapeutics in Diabetes
Therapeutics in Diabetes

... Reduce peripheral insulin resistance leading to a reduction in blood glucose Sensitizes fat, muscle and liver to endogenous and exogenous insulin Rosiglitazone – withdrawn due to CV risk Pioglitazone – concerns over bladder cancer risk ...
Slide 1 - Linda Baier Files
Slide 1 - Linda Baier Files

... • Fibroids usually cause regular, heavy bleeding but can also cause intermenstrual bleeding • Other lesions, such as polyps, or even inflammation and infection can also cause heavy bleeding ...
Distributive Shock
Distributive Shock

... – Adrenal insufficiency as a cause of shock should be considered in any patient with hypotension who lacks signs of infection, cardiovascular disease, or hypovolemia. ...
Breast Health - Linda Baier Files
Breast Health - Linda Baier Files

... Evaluating Masses in Pregnant and Lactating Women • Ultrasound preferred • Biopsy complications − Fine needle aspiration not as accurate − Higher hematoma risk with pregnancy − More infection/milk fistula with lactation • Cessation may lower complications • Workup is not postponed for pregnancy if ...
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Maternal physiological changes in pregnancy



Maternal physiological changes in pregnancy are the normal adaptations that a woman undergoes during pregnancy to better accommodate the embryo or fetus. They are physiological changes, that is, they are entirely normal, and include cardiovascular, hematologic, metabolic, renal and respiratory changes that become very important in the event of complications. The body must change its physiological and homeostatic mechanisms in pregnancy to ensure the fetus is provided for. Increases in blood sugar, breathing and cardiac output are all required. Levels of progesterone and estrogens rise continually throughout pregnancy, suppressing the hypothalamic axis and subsequently the menstrual cycle. The woman and the placenta also produce many hormones.The body must change its physiological and homeostatic mechanisms in pregnancy to ensure the fetus grows properly and receives adequate nutrition. Increases in blood sugar, breathing and cardiac output are all required.
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