Contraindicated Drugs During Breast feeding

Its very Important To Know The ContraindicatedDrugs During Breast feeding ??

(( BREAST ))

B= Bromocriptine/­benzodiazepines

R= Radioactive isotopes/ Rizatriptan

E= Ergotamine/ Ethosuximide

A= Amiodarone/ Amphetamine

S= Sex steroids/ Stimulant luxatives

T= Tetracycline/ Tretinoin

Syphilis characterized by 4 stages-primary ,secondary ,latent ,tertiary!!

 

Primary syphilis-PRAISE
P-painless lesion
R-regional lymphadenopathy
A-cArtilagenous consistency of lesion
... I-indurated lesion
S-single lesion
E-exudation with discharging serous fluid

Secondary-CAMP
C-condylomata lata
A-associated lesions(opthalmic,osseous,meningeal)
M-mucocutaneous lesion,mucous patches
P-pruritic papules

Latent-+ve serology;no clinical manifestation

Tertiary-CLASS
C-cardiovascular disorder
L-late benign sypillis(gummata)
A-asymptomatic nuerosyphilis
S-symptomatic nuerosyphillis

Pre-eclampsia maternal complications

ADHD

• Acute renal failure
• Disseminated intravascular coagulation
• HELLP syndrome
• Death

HELLP syndrome – Haemolysis, Elevated Liver enzymes, Low Platelets

Causes of genital ulceration

Government Higher Secondary School Leaving Certificate.

Granuloma inguinale
Herpes simplex and zoster
Syphilis
Steven-Johnson syndrome
Lymphogranuloma venereum
Chancroid and Cance

ACUTE ABDOMINAL PAIN Causes

 

"BAD GUT PAINS" and "ECTOPIC"

B - Bowel obstruction
A - Appendicitis, Adenitis (mesenteric)
D - Diverticulitis
Diabetic Ketoacidosis
Dysentary/Diarrhea Drug withdrawal
G - Gastroenteritis
Gall bladder disease/stones/
obstruction/infection
U - Urinary tract obstruction (stone)
infection (pyelo/cystitis)
T - Testicular Torsion
Toxin - Lead, black widow spider bite
P - Pneumonia/Pleurisy
Pancreatitis
Perforated bowel/ulcer
Porphyuria
A - Abdominal aneurysm
IN - Infarcted bowel
Infarcted myocardium (AMI)
Incarcerated hernia
Inflammatory bowel disease
S - Splenic rupture/infarction
Sickle cell pain crisis
sequestration crisis

For FEMALES with acute PELVIC pain, think "ECTOPIC" as well as the above causes
E - Ectopic (This is your priority rule out always)
Endometriosis
C - Cyst rupture (corpus leutium cyst rupture)
T - Torsion of ovary or cyst
O - Ovulation: Mittelschmerz
P - Pelvic Inflammatory Disease,
salpingitis, tubo - ovarian abscess
I - Incomplete abortion
C - Cystitis/pyelonephritis

Polycystic ovary: morphology, presentation

·
Morphology is poly-C:
Cysts
Capsule thickened
Cortical stromal fibrosis
·
Clinical presentation is OVARY:
Obese
Virilism or hirsuitism
Amenorrhoea
Reproductive disorder [infertile]
Young woman

postmenopausal bleeding

postmenopause
P-polyp(cervical)
O-ovarian cancer(also ca uterus ,vagina, cervix,)
S-enile vaginitis,endometritis
T-rauma
M-yoma
E- ndometrial hyperplasia
N-ot removed pessary leading 2 ulceration
O-estrogen therapy
P-yometra(intermittent)
A-fter radiation ulceration
U-rethral carbuncle
S-arcoma uterus
E-rosion in cervix

Causes of recurrent miscarriage:

RIBCAGE

Radiation
Immune reaction
Bugs (infection)
Cervical incompetence
Anatomical anomaly (e.g. septate uterus)
Genetic (aneuploidy)
Endocrine

Movements of Head during labour.

Eye Donation Famous Indian
Communication nEver Reach Eastern
Etiology..

1.Engagement
2.Descent
3.Flexion
4.Internal rotation
5.Crowning
6.Extension
7.Restitution
8.Extrnal rotation
9.Expulsion of Trunk

Prenatal care questions

ABCDEF:

Amniotic fluid leakage?
Bleeding vaginally?
Contractions?
Dysuria?
Edema?
Fetal movement?

Post-partum haemorrhage (PPH): causes

4 'T's:

Tissue (retained placenta)
Tone (uterine atony)
Trauma (traumatic delivery, episiotomy)
Thrombin (coagulation disorders, DIC)

Post-partum haemmorrage (PPH): risk factors

PARTUM:

Polyhydroamnios/ Prolonged labour/ Previous cesarian
APH/ ANTH
Recent bleeding history
Twins
Uterine fibroids
Multiparity

Postpartum collapse: causes

HEPARINS:

Hemorrhage
Eclampsia
Pulmonary embolism
Amniotic fluid embolism
Regional anaethetic complications
Infarction (MI)
Neurogenic shock
Septic shock

Pelvic Inflammatory Disease (PID): complications

I FACE PID:

Infertility
Fitz-Hugh-Curitis syndrome
Abscesses
Chronic pelvic pain
Ectopic pregnancy
Peritonitis
Intestinal obstruction
Disseminated: sepsis, endocarditis, arthritis, meninigitis

Pelvic Inflammatory Disease (PID): causes, effects

"PID CAN be EPIC":

 Causes:
Chlamydia trachomatis
Actinomycetes
Neisseria gonorrhoeae

  Effects:
Ectopic
Pregnancy
Infertility
Chronic pain

Parity abbreviations (ie: G 3, P 2012)

"To Peace And Love":

T: of Term pregnancies
P: of Premature births
A: of Abortions (spontaneous or elective)
L: of Live births

Ovarian cancer: risk factors

"Baby FILM":

Breast cancer
Family history
Infertility
Low parity
Mumps

Oral contraceptives: side effects

CONTRACEPTIVES:

Cholestatic jaundice
Oedema (corneal)
Nasal congestion
Thyroid dysfunction
Raised BP
Acne/ Alopecia/ Anaemia
Cerebrovascular disease
Elevated blood sugar
Porphyria/ Pigmentation/ Pancreatitis
Thromboembolism
Intracranial hypertension
Vomiting (progesterone only)
Erythema nodosum/ Extrapyramidal effects
Sensitivity to light

Oral contraceptive complications: warning signs

ACHES:

Abdominal pain
Chest pain
Headache (severe)
Eye (blurred vision)
Sharp leg pain

Multiple pregnancy complications

HI, PAPA:

Hydramnios (Poly)
IUGR
Preterm labour
Antepartum haemorrhage
Pre-eclampsia
Abortion