USMLE Forum Archives - USMLE Step 2 CK - obgy
obgy
HIV - 03-18-07 21:41
patient 27-year-old she had history of crohn's disease for 6years .she seeking advice about appropriate countrceptive method .she asked you about IUD what will you answer her? a)IUD is not good for you because had failure 2% b) IUD is contraindication for you c) OK I will prescribe IUD as you want it d) IUD is good one for you since you had crohn's disease
HIV - 03-18-07 21:41
patient 27-year-old she had history of crohn's disease for 6years .she seeking advice about appropriate countrceptive method .she asked you about IUD what will you answer her? a)IUD is not good for you because had failure 2% b) IUD is contraindication for you c) OK I will prescribe IUD as you want it d) IUD is good one for you since you had crohn's disease
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#2
Re: obgy AMD - 04-22-07 17:33 The answer is B ,because the patient have a chron's disease for 6 years which mean the patient on immunosuppresive medications which increase patient risk of infection (cervicitis,endometritis and salpingitis)
Contraindications to IUD use.
Absolute contraindications
Pregnancy
Acute or subacute pelvic inflammatory disease or purulent cervicitis
Significant anatomic abnormality of uterus
Unexplained uterine bleeding
Active liver disease (Mirena only)
Relative contraindications
History of pelvic inflammatory disease since the last pregnancy
Lack of available follow-up care
Menorrhagia or severe dysmenorrhea (copper IUD)
Cervical or uterine neoplasia
#4
Re: obgy babbu5508 - 07-07-10 00:09 hope it is b) IUD is contraindication for you..because IUD increases the chance of PID in any patient and this is more so in a patient of crohns who are likely to be on immunosuppressants.
#6
Re: obgy ammulufy - 08-01-10 21:34 As far as I know.....Crohn's Disease has got nothing to do wid prescription wid IUD....hence I go wid C.
#7
Re: obgy babbu5508 - 08-29-10 01:43 it is not crohn's disease which is a contraindication for iud but it is the use of steroids for crohn's which is the contraindication......
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