1. In cases of post-term pregnancy (42-43 weeks), the non-stress test and biophysical profile should be performed twice weekly and if there is oligohydramnios or if spontaneous decelerations are noted, delivery has to be accomplished.
2. All patients with pseudocyesis need psychiatric evaluation.
3. Eclampsia is diagnosed when unexplained convuslions occur in the setting of preeclampsia.
4. In complete abortion, the whole conceptus passed through the cervix. The cervix then closes, and pain and uterine contractions subside.
5. Fetal hydantoin syndrome presents with a small body size with microcephaly, hypoplasia of the distal phalanx of the fingers and toes, nail hypoplasia, low nasal bridge, hirsutism, cleft palate and rib anomalies.
6. If maternal serum Alpha-Feto-Protein levels are found to be abnormal in a pregnant patient, the next step is ultrasonography.
7. A search should be undertaken to determine the cause after the first episode of intrauterine fetal demise.
8. Metronidazole is the treatment of choice for Trichomonas vaginitis and should be prescribed to both the patient and the partner.
9. Abdominal pain in a young female in the middle of her cycle with a benign history and clinical examination is most likely Mittelschmerz.
10. Advanced stage of premature labor should be managed more aggressively and tocolysis has to be instituted at once. Magnesium sulfate is the drug of choice for tocolysis.
11. Labor should be allowed to proceed in patients with severe congenital anomaly incompatible with life.
12. Atrophic vaginitis is treated with estrogen; this latter should be balanced with medroxyprogesterone if the uterus is still present. If the patient is not willing to use oral hormones, Premarin(estrogen) cream twice daily may be used.
13. In cases of intrauterine growth retardation, presence of oligohydraminos is an indication for delivery.
14. Physicians have to maintain their obligation to a patient's right to confidentiality, even in the event of a pregnant minor wanting to withhold the diagnosis from her parents.
15. Fetal alcohol syndrome presents with IUGR, microcephaly and facial dysmorphology which involves midfacial hypoplasia, micrognathia, flattened philtrum, microphtalmia, short palpebral fissure, and thin vermillion border of the upper lip.
Wed Jun 10, 2009 10:36 pm