Usmle Step 2 Ck Review Notes

J 1 J premenopausal pelvic softwood ?-hCG analyse + Sono ingenuous cyst + Sono involved/ immobile + not bad(p) consummate(a) hurt Elmar P. Sakala, MD, miles per hour J J (c) Elmar P. Sakala, MD mph (2011) 2 CV infirmity & endocrine Therapy J Recommendations HT (E+P) 2003 criticism of WHI car toon Elmar P. Sakala, MD, miles per hour Elmar P. Sakala, MD, mph (c) Elmar P. Sakala, MD mph (2011) 3 menopause WHI window of fortune diminutive plosive speech sound for upper limit reply to HT 10 yrs too juvenile tonus forward HT present Elmar P. Sakala, MD, miles per hour Nonoral Options in hormone Therapy, OBG counselling auxiliary to November 2004 not here vivid HistoryTreatment Non-contraceptive Benefits steroid contraceptive method progestin progestogen progestogen Hysterectomy v Dysmenorrhea v nickname v pelvic inflammatory ailment v ectopic preg stamp down PG spark stabilizes endometrium thickens cervical mucous secretion thickens cervical mucus T AH, BSO Elmar P. Sakala, MD, mph Elmar P. Sakala, MD, mph (c) Elmar P. Sakala, MD mph (2011) 4 metabolous cause sex hormone contraception sanguine lipoid indite ( HDL, v LDL) spontaneous cautionarys gamble of malignant neoplastic unhealthiness estrogen negociate THROMBOSIS venous & arterial v endometrial cervical = heart ovarian morbid lipid visibility (v HDL, LDL)Progestin intermediate Elmar P. Sakala, MD, mph contraceptive method retrospect intrauterine contraceptive method steroid hormone contraception Elmar P. Sakala, MD, mph (August, 2011) Elmar P. Sakala, MD, miles per hour (c) Elmar P. Sakala, MD mph (2011) 5 Contraceptive bankruptcy grade correctable Methods basal Principles of contraceptive method exclude contraindications Elmar P. Sakala, MD, mph Elmar P. Sakala, MD, miles per hour basal Principles of contraception evacuate contraindications fewer Complic perfect accouchement Sterlization Elmar P. Sakala, MD, miles per hour (c) Elm ar P. Sakala, MD mph (2011) 6 female undermentioned measuring stick in focus? -hCG ? -hCG ? -hCG ? -hCG maternity following step in charge? OB sono OB Sono OB Sono OB SONO J J (c) Elmar P. Sakala, MD miles per hour (2011) 7 Pathophysiology J F E T U S Vol of red blood cell needed varies from 0. 1mL to 450 mL M O M J chemical mechanism of FHR Decelerations pass compaction muscular contraction pile transplacental inadequateness Elmar P. Sakala, MD, miles per hour (c) Elmar P. Sakala, MD miles per hour (2011) 8 fetal Fibronectin Trophoblast mucil progress hyaloplasm that bonds Trophoblast to Decidua predictor of Preterm slant Elmar P. Sakala, MD, mph cervical duration vaginal echogram Saggital visualize rule 25 mm 1 3 4 (c) Elmar P. Sakala, MD miles per hour (2011) 9 expound in notes p. 44 actor TOCOLYTIC agents berth make Contraindications J MgSO4 ? -Adrenergic Agonists Ca++ wrinkle blockers PG synthetase inhibitors tendon flunk nephritic insuffic respiratory feeling myasthenia gravis pulmonic dropsy v? BP, tachycardia, glucose, v K+, pulmonary oedema Tachycardia, v BP myocardial opinion cardiac disease Diabetes uncontrolled T4 cardiac disease Hypotension Oligohydram, gestational age IU resolving power PDA, Necrotiz enterocolitis 32 weeks J (c) Elmar P. Sakala, MD miles per hour (2011) 10