Usmle Step 2 Ck Review Notes

J 1 J premenopausal Pelvic mass ?-hCG test + Sono simple cyst + Sono complex/solid + Acute severe wound Elmar P. Sakala, MD, mph J J (c) Elmar P. Sakala, MD MPH (2011) 2 CV disease & Hormone Therapy J Recommendations HT (E+P) 2003 Critique of WHI study Elmar P. Sakala, MD, MPH Elmar P. Sakala, MD, MPH (c) Elmar P. Sakala, MD MPH (2011) 3 Menopause WHI WINDOW of probability Critical period for maximum response to HT 10 yrs too Late Start HT here Elmar P. Sakala, MD, MPH Nonoral Options in Hormone Therapy, OBG Man get alongment supplement to November 2004 Not Here Natural HistoryTreatment Non-contraceptive Benefits steroid Contraception progestogen Progestin Progestin Hysterectomy v Dysmenorrhea v DUB v PID v Ectopic preg annihilate PG release stabilizes endometrium thickens cervical mucus thickens cervical mucus TAH, BSO Elmar P. Sakala, MD, MPH Elmar P. Sakala, MD, MPH (c) Elmar P. Sakala, MD MPH (2011) 4 Metabolic Effects Steroid contraception Healthy lipid profile ( HDL, v LDL) Oral Contraceptives guess of CANCER Estrogen mediated THROMBOSIS venous & arterial v Endometrial Cervical = Breast ovarian Unhealthy lipid profile (v HDL, LDL)Progestin mediated Elmar P. Sakala, MD, MPH Contraception Review Intrauterine Contraception Steroid Contraception Elmar P. Sakala, MD, MPH (August, 2011) Elmar P. Sakala, MD, MPH (c) Elmar P. Sakala, MD MPH (2011) 5 Contraceptive Failure Rates rechargeable Methods Basic Principles of Contraception Avoid contraindications Elmar P. Sakala, MD, MPH Elmar P. Sakala, MD, MPH Basic Principles of Contraception Avoid contraindications FEW Complic undefiled childbearing Sterlization Elmar P. Sakala, MD, MPH (c) Elmar P. Sakala, MD MPH (2011) 6 FEMALE Next step in charge? -hCG ? -hCG ? -hCG ? -hCG PREGNANCY Next step in management? OB sono OB Sono OB Sono OB SONO J J (c) Elmar P. Sakala, MD MPH (2011) 7 Pathophysiology J F E T U S Vol of RBC needed varies from 0. 1mL to 450 mL M O M J Mechanism of FHR Decelerations HEAD condensing Compression CORD PLACENTAL Insufficiency Elmar P. Sakala, MD, MPH (c) Elmar P. Sakala, MD MPH (2011) 8 Fetal Fibronectin Trophoblast glue Matrix that bonds Trophoblast to Decidua Predictor of Preterm Delivery Elmar P. Sakala, MD, MPH Cervical Length Vaginal Sonogram Saggital Image pattern 25 mm 1 3 4 (c) Elmar P. Sakala, MD MPH (2011) 9 Described in notes p. 44 Agent TOCOLYTIC agents Side Effects Contraindications J MgSO4 ? -Adrenergic Agonists Ca++ channel blockers PG synthetase inhibitors Muscle weakness nephritic insuffic Respiratory depression Myasthenia gravis Pulmonary dropsy v? BP, tachycardia, glucose, v K+, Pulmonary edema Tachycardia, v BP Myocardial depression Cardiac disease Diabetes Uncontrolled T4 Cardiac disease Hypotension Oligohydram, Gestational age IU closure PDA, Necrotiz enterocolitis 32 weeks J (c) Elmar P. Sakala, MD MPH (2011) 10