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Consent Advice Flashcards

1
Q

Hyst risk of serious complications? Number

A

2/1000

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2
Q

Hyst damage to uterus?

A

Uncommon

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3
Q

Hyst damage to bowel bladder or blood vessels?

A

Rare

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4
Q

Hyst failure?

A

Uncommon

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5
Q

Hyst risk of infertility?

A

Rare

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6
Q

Hyst risk of death? Number

A

3-8/100000 (very rare)

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7
Q

Frequent risks of hysterscopy?

A

Infection and bleeding

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8
Q

Dx lap risk of serious complications? Number

A

2/1000

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9
Q

Dx lap risk of damage to bowel bladder uterus or blood vessels?

A

Uncommon

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10
Q

Proportion of bowel injuries which are not diagnosed at the time of diagnostic lap? Number

A

15%

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11
Q

Dx lap risk of death? Number

A

3-8/100000

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12
Q

Frequent risks of laparoscopy?

A

Wound bruising, gaping, infection and shoulder tip pain

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13
Q

Risk reduction in ovarian cancer for tubal ligation? Number

A

34% (60% for BRCA 1 carriers)

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14
Q

Lap steri failure rate? Number

A

2-5/1000 at 10 years (=uncommon)

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15
Q

Failure rate of hysteroscopic sterilisation? Number

A

2/1000

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16
Q

Lap steri risk of visceral or blood vessel injury? Number

A

2/1000

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17
Q

Lap steri risk of death? Number

A

1/12000 (=~8/100000 i.e. Same as risk of death for diagnostic lap)

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18
Q

Risk of laparotomy after lap steri? Number

A

3/1000

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19
Q

Failure rate of vasectomy? Number

A

1/2000

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20
Q

TAH risk of serious complications? Number

A

4/100 (common)

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21
Q

TAH damage to bladder &/ ureter? Number

A

7/1000

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22
Q

TAH risk of long term bladder dysfunction?

A

Uncommon

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23
Q

TAH damage to the bowel? Number

A

4/10000

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24
Q

TAH risk of haemorrhage requiring blood transfusion? Number

A

23/1000 (common)

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25
TAH risk of return to theatre for bleeding, wound dehiscence etc? Number
7/1000
26
TAH risk of pelvic abscess / infection? Number
2/1000
27
TAH risk of VTE? Number
4/1000
28
TAH risk of death within 6 weeks? Number
32/100000 (main causes are PE and cardiac disease)
29
Frequent risks of TAH?
Wound infection, pain, bruising, delayed wound healing, keloid, numbness, tingling, burning, urinary frequency, uti, ovarian failure
30
Prolapse surgery risk of damage to bladder / urinary tract? Number
2/1000
31
Prolapse surgery risk of damage to bowel? Number
5/1000
32
Prolapse surgery risk of excessive bleeding necessitating return to theatre? Number
2/100
33
Prolapse surgery risk of pelvic abscess? Number
3/1000
34
Prolapse surgery risk of failure / recurrence?
Common
35
Prolapse surgery risk of death within 6 weeks? Number
37/100000 (venous thrombosis common, PE uncommon)
36
Frequent risks of prolapse surgery?
Urinary infection / retention / frequency, vaginal bleeding, postop pain, difficulty / pain with intercourse, wound infection
37
Vag hyst risk of blood transfusion? Number
2/100
38
Amino success rate? Number
94% if experienced operator
39
Amino risk of blood stained sample? Number
0.8% (with continuous US guidance)
40
Amino risk of miscarriage? Number
1%
41
Amino risk of chorio and severe sepsis? Number
<1/1000
42
Amino frequent risks?
Mild discomfort equivalent to venepuncture
43
Complication rates of Emcs vs elcs? Number
24/100 vs 16/100
44
Complication rate of emcs at 9-10cm vs 0-1cm dilated? Number
33/100 vs 17/100
45
CS risk of hysterectomy? Number
7-8/1000
46
CS risk of repeat surgery (including curettage)? Number
5/1000
47
CS risk of ITU admission? Number
9/1000
48
CS risk of VTE? Number
4-16/10000
49
CS risk of bladder injury? Number
1/1000
50
CS risk of ureteric injury? Number
3/10000
51
CS risk of death? Number
1/12000
52
CS risk of uterine rupture in subsequent delivery? Number
2-7/1000
53
CS increased risk of antepartum Stillbirth? Number
1-4/1000
54
CS increased risk of praevia and acceptance in subsequent pregnancies? Number
4-8/1000
55
CS frequent risks?
Persistent wound / abdo discomfort 9/100, increased risk of CS in future pregnancy 1/4, readmission 5/100, haemorrhage 5/1000, infection 6/100, fetal laceration 1-2/100
56
ERPC risk of perforation?
5/1000
57
ERPC risk of trauma to cervix?
Rare
58
ERPC impact on future fertility?
No effect
59
ERPC risk of blood transfusion?
1-2/1000
60
ERPC need for repeat surgical evacuation?
5/100
61
ERPC risk of localised pelvic infection?
3/100
62
ERPC common risks?
Bleeding up to 2 weeks, repeat ERPC, localised pelvic infection
63
ERPC risk of intra abdominal trauma?
0.1%
64
Lap salpingectomy risk of serious complications and risk of death? Number
2/1000 and 3-8/100000
65
Lap salpingotomy risk of persistent trophoblastic tissue? Number
4-8/100
66
Lap salpingectomy what are the serious risks?
Damage to bladder / bowel / uterus / blood vessels, failure of laparoscopic entry therefore requiring laparotomy
67
What are the frequent risks of laparoscopic salpingectomy?
Negative laparoscopy, bruising, shoulder tip pain, wound gaping, infection, port site hernia
68
What proportion of bowel injuries during lap salpingectomy are not identified at the time?
15%
69
What proportion of patients treated with methotrexate for ectopic require a second dose? And how many require surgical intervention?
14% second dose, 10% surgery
70
3/4 tear repair - common / uncommon / rare risks?
Incontinence of stool/faeces common, future CS uncommon, haematoma rare, secondary repair / sacral nerve stimulation rare, rectovaginal fistula very rare
71
3/4 tear repair risk of faecal urgency? Number
26/100
72
3/4 tear repair perineal pain and dyspareunia? Number
9/100
73
3/4 tear repair wound infection? Number
8/100
74
Factors increasing risk of failure with operative vaginal delivery?
High bmi, >4kg / clinically large, op, mid-cavity or of 1/5 palpable pa
75
OVD risk of 3/4 tear? Number
1-4/100 ventouse, 8-12/100 forceps
76
OVD risk of extensive or significant vulval / vaginal tear? Number
1/10 ventouse, 1/5 forceps
77
OVD risk of subgaleal haematoma? Number
3-6/1000
78
OVD risk of intracranial haemorrhage? Number
5-15/1000 (1/100)
79
OVD risk of PPH? Number
1-4/10
80
OVD risk of cephalhaematoma? Number
1-12/100
81
OVD facial or scalp lacerations? Number
1/10
82
OVD jaundice? Number
5-15/100
83
OVD retinal haemorrhage? Number
17-38/100
84
OVD risk of episiotomy? Number
5-6/10 ventouse, 9/10 forceps
85
CS for praevia emergency hysterectomy? Number
11/100
86
CS for praevia need for repeat laparotomy? Number
75/1000
87
CS for praevia VTE? Number
3/100
88
CS for praevia future placenta praevia? Number
23/1000
89
CS for praevia MOH? Number
21/100
90
CS for praevia and previous CS, risk of hysterectomy? Number
27/100

Obstetrics (13 decks)

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