Acute Gynaecology Flashcards
twhat is the likely diagnosis of unilateral pelvic pain if HCG is positive?
ectopic pregnancy
what investigations would be done for a possible ectopic pregnancy?
FBC
G+S
ultrasound - FAST or TVUS
what is an ectopic pregnancy?
a pregnancy outwith the endometrial cavity
where do the vast majority of ectopic pregnancies implant?
uterine tubes
what are some risk factors for ectopic pregnancies?
previous ectopic tubal damage IUD smoking infertility
what are the possible management options for an ectopic pregnancy?
laparoscopy/lapaotomy
salphingectomy or salphingotomy
what injection may need to be given in an ectopic pregnancy?
anti D
how does a pregnancy of unknown location present?
static HCG
clinically well
what is the medical management of a pregnancy of unknown location?
methotrexate
what is a likely diagnosis of unilateral pelvic pain with negative HCG?
ovarian cyst
what investigations would be done for a suspected cyst?
FBC, CRP, G+S
vaginal examination
TVUS
when is ovarian torsion more likely?
with an ovarian cyst >5cm
are ovarian cysts more likely to be benign or malignant in pre-menopausal patients
benign
are ovarian cysts more likely to be benign or malignant in post-menopausal patients
malignant
