Acute gynaecology Flashcards
1
Q
Symptoms of ectopic pregnancy
A
- unilateral pain
- hypotension
- dizziness
2
Q
Risk factors for ectopic pregnancy
A
- previous
- tubal damage
- intrauterine contraceptive device
- smoking
- infertility treatment
3
Q
Investigations for ectopic pregnancy?
A
- HCG
- TVS = free fluid
4
Q
Treatment of ectopic pregnancy
A
- expectant
- methotrexate
- surgical - laparoscopy
5
Q
Treatment of pregnancy of unknown location
A
- methotrexate
6
Q
Ovarian torsion usually occurs from?
A
- dermoid cyst > 5cm
7
Q
Symptoms of ovarian torsion
A
- sudden severe unilateral pain
- nausea and vomiting
8
Q
Investigations for ovarian torsion?
A
- AXR
- TVS
9
Q
Post-menopausal ovarian torsion likely____
A
- to be malignant
- pre menopausal = less likely to be malignant
10
Q
Management of ovarian torsion
A
- laparoscopy
- detorsion
11
Q
Symptoms of cyst rupture?
A
- following trauma or intercourse
- hCG negative
- hypotension
12
Q
Symptoms of pelvic inflammatory disease (PID)
A
- Lower abdo pain
- discharge
- intermenstrual bleeding
13
Q
Investigations for PID?
A
- FBC, LFT, CRP
- Swab
14
Q
Causes of PID?
A
- Chlamydia
- gonorrhoea
- endometritis
15
Q
Management of PID?
A
- 14 days metronidazole and doxyclcyine
- laparoscopy?
16
Q
Management of acute bleeding?
A
- tranexamic acid (anti-fibronlytic)
- mefenamic acid (NSAID)
- Norethisterone
17
Q
Symptoms of a HSV infection
A
- pain
- ulceration
- discharge
- urinary retention
18
Q
Treatment of HSV
A
- Aciclovir
19
Q
Treatment of bartholin gland infection
A
- conservative
- antibiotics
- incision and drainage
