Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Obstetrics > Bleeding In Early Pregnancy, APHge, Medical Disorders And Fetology > Flashcards

Bleeding In Early Pregnancy, APHge, Medical Disorders And Fetology Flashcards

1
Q

Mention CCC of vesicular mole

A
  1. Gestational hypertension
  2. Hyperthyroidism
  3. Trophoblastic embolization
  4. Hyperemesis gravidarum
  5. Theca lutein ovarian cyst
  6. Persistents GTN
  7. Infection
  8. Severe bleeding
  9. RDS dt 1,2,3
  10. DIC dt 1, 3, 7, 8
  11. Recurrence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Mention causes of pain in vesicular mole

A
  1. Distension leading to dull aching pain
  2. Colicky pain dt uterine contraction
  3. Sevre sharp pain dt uterine perforation (invasive mole), RTH theca lutein cyst, concealed hge
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the termination of pregnancy in case of VM

A

=Suction evacuation, blood should be available +/- misoprostol, 12 mm cannila for easy evacuation, oxytoxin helps E and dec B, suction is better guided by US
=Hysterectomy in toto in multiparous women no longer desiring fertility, MP wl severe infection or bleeding, invasive mole causing uterine perforation and intraperitoneal hge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe follow-up of VM by BHCG

A

New baseline 48 hrs after evacuatoin then
Weekly follow-up till undetectable for 3 successive wks (9-11 wks)
Monthly FU for 6m

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Mention indications of prophylactic chemotherapy in VM

A
  1. Age >40 yrs
  2. BHCG >100,000 IU/L
  3. Theca lutein cyst >6 cm
  4. Significant uterine enlargement
  5. Unreliable to FU
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe management of theca lutein cyst

A

Conservative as it disappears after evacuation by 2-4 months
Laparotomy only for complicated cyst (torsion rupture hge)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When is PV and VD allowed in PP?

A
  1. Mild APH
  2. Low lying placenta
  3. Under complete aseptic conditions
  4. Equiped hospital (OR)
  5. In labour
  6. Double set examination (for VD & CS)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Mention causes of cncealed accidental hge

A
  1. Intact placental margins
  2. Fetal membranes still attached to uterus
  3. Deeply engaged presnting part
  4. High rupture of membranes with intra-amniotic bleeding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Enumerate risk factors of PE

A

Personal: inc age, weight, nulliparity, FHx of PE
Obs: previous PE, molar pregnancy, hydrops fetalis, polyhydramnios, MFP (inc chorionic tissue and uterine overdistension)
Med: hypothyroidism, PGDM, APS, CKD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Mention CCC of PE (&E)

A

Maternal
1. Brain cerebral edema or hge
2. Retinal edema and hge
3. Pulomary edema
4. Cardiomegaly and hypertensive HF
5. Acute fatty liver, hepatic edema, subcapsular hge
6. Acute tubular and cortical necrosis
7.DIC,MAHA and HELLP
8. Placental abruption
Fetal: IUFD, IUGR, PTL, neonatal asphyxia
Remote: recurrence, ESRD, inc HTN, ISHD, VTE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Mention criteria of severity of PE

A
  1. BP >/= 160/110
  2. New onset of neurological symptoms e.g. cerebral or visual disturbance. Persistent headache
  3. Pulmonary edema
  4. Liver affection as indicated by s.transaminases > twice normal or persistent RUQ or epigastric pain not responding to medication
  5. sCr >1.1 mg/dlor doubling with no known cause
  6. Platelets <100,000/ ul
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe dose and administartion of MgSO4

A

Loading dose: 4 g slow IV infusion over 15-20 min
IV regimen: 1-3 g/hr by IV drip
IM regimen (obsolete) 10 g with loading 5 g in each buttock then 5g/4-6 hrs slow IM
Continued for 24-48 hr after last fit or TOP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Mention the DD of fits during pregnancy

A
  1. Eclampsia
  2. Epilepsy
  3. Hysterical
  4. Cerebral strolke
  5. HTN encephalopathy
  6. CNS irritation
  7. Strychinine poisoning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Mention criteria of severity of eclampsia

A

Eden’s criteria:
1. Fits >10 times
2. Coma >6 hrs
3. Oliguria or anuria
4. Pulse >120/ min
5. Temp >/=39
6. SBP >200 mmHg
7. RR >/= 40/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Mention risk factors for GDM

A

Personal: inc age, obesity, grandmultipara, FHx of DM
Obs: prev GDM, inc chorionic tissue (MFP), Hx of unexplained macrosomic baby, polyhydramnios, IUFD, perinatal loss, baby w/ CFMF, repeated abortion. Excessive gestational weight gain or glucosuria +2 on 2 occasions
Med: metabolic syndrome, PCO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Mention CCC of DM w/ pregnancy

A
  1. Maternal: appearance, aggravation, hypoglycemia #Obs: HTN, PE, polyhydramnios, APH, PPH,infections. DVT and pulE. Defective lactation, recurrence
  2. Fetal: spontatenous abortion, IUFD, CFMF, PTL, fetal growth disorders
  3. Neonatal: macrosomia, birth trauma and perinatal asphyxia, cardiomyopathy, hypoglycemia, electrolyte imbalance, hypthermia
17
Q

Mention reference ranges for 3 hr OGTT

A

FBG 105 mg/dl
1-hr 180 mg/dl
2-hr 160 mg/dl
3-hr 140 mg/dl
All more than or equal
Two reference ranges are elevated is diagnostic

Obstetrics (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions