Clinical management Flashcards
Simple ovarian cyst <50mm (confirmed on USS)
discharge
Simple ovarian cyst 50-70mm
yearly uss follow up
simple ovarian cyst >70mm
MRI / surgical intervention
Conditions requiring 5mg folate
diabetics coeliac Sickle cell Prev preg neural tube defect FH neural tube defect Taking methotrexate certain anti-epileptics
% of people with PROM who labour spontaneously within 24hrs
60%
Multiparous, when to suspect failure to progress 2nd stage labour
30 mins - amniotomy
Diagnose at 1hr
Nulliparous when to suspect failure to progress 2nd stage labour
1hr suspect
2hr diagnose
medical abortion antibiotics
Negative chlamydia: stat dose metronidazole
Unknown chlam status: dual stat azithromycin 1g metro 800mg orally
endometrial hyperplasia without atypia. Risks
<5% progression to cancer over 20 years
1st line IUS
Endometrial hyperplasia risk factors
Oestrogen Tamoxifen PCOS Obesity Immunosuppression
most common congenital thrombophilia
Factor V leiden
When to test women with risk factors for GD
OGTT at 24-28 weeks
If they’ve had it previously. OGTT as soon as possible after booking
Puerperal sepsis
Most commonly Group A strep causing endometritis
Definition is sepsis after birth until 6 weeks post-natal
infertility rate endometriosis
40%
pathophysiology of acute fatty liver of pregnancy
fetal deficiency of LCHAD (long-chain 3-hydroxy-CoA dehydrogenase)
