Differential Diagnosis Flashcards
Hyperemesis Gravidarum DDx
Infection – AGE, UTI, Meningitis, OM
Endocrine – DKA, Hyperthyroid
GI – Obstructions, PUD, Pancreatitis, Cholecystitis, GORD
CNS – Malignancy, Meningitis, Pseudotumor Cerebri
Molar Pregnancy Multiple Pregnancy
Small for Gestational Age Cause
Maternal – HTN, DM, APS, Smoking, Drugs, Meds, Excessive Exercise
Fetal – Genetic abnormalities (Kidney, Down Syndrome), TORCH (Sick Contacts, raw meat, pets)
Placental Insufficiency
Oligohydramnios and IUGR
Constitutional small size
Incorrect dating
Large for Gestational Age Cause
Maternal - DM, Multiple Pregnancy, Fibroids
Fetal - Genetic Abnormalities, Malformation (GI), TORCH
Cholangiocarcinoma
Polyhydramnios and Macrosomia
Wrong Dates
Pre-eclampsia DDx
Eclampsia
Chronic HTN, Gestational HTN
Acute Kidney Injury
HELLP Syndrome
Lupus, APS
Acute Fatty Live of pregnancy
Heart Failure
Bleeding Early in Pregnancy DDx
Miscarriage
- Complete
- Incomplete
- Threatened
Pregnancy
- Ectopic Pregnancy
- Molar Pregnancy
- Heterotrophic Pregnancy
Vaginal & Cervical
- Laceration,
- Cervical CA
- Polyps
PID
Implantation Bleeding
Primary Post Partum DDx
Tone – Uterine Atony
Trauma – Uterine Rupture, Vaginal and Cervical Laceration
Tissue – Retained POC
Thrombin – Clotting problem, DIC
Uterine Atony Causes
Prolonged Labor
Multiple Pregnancy, High Parity
Macrosomia, Polyhydramnios
Sec. Post Partum DDx
Tone - endomeTritis
Tissue - RPOC
Trauma - Lacerations
Thrombin - Bleeding d/o
Others - Fibroids, Cervical CA & Polyp
Chest Pain in Preg DDx
Preeclampsia
CVS – IHD, Valvular Dx, Arrythmia, HF
Respiratory – PE, Pneumonia, Lung CA
GI – GORD, PUD, Cholecystitis
MSK – Costochondritis
Psychogenic
Edema in the Leg Preg DDx
Pre-eclampsia
DVT, PE
Failures – Kidney, Liver, CHF
Allergies – Dermatitis,
Infections – Cellulitis, SA
Thyroid Disease, Medications
Itchiness Preg DDx
Polymorphous Eruption of Pregnancy
Intrahepatic Cholestasis o Pregnancy
Contact Dermatitis
Eczema
Psoriasis
Infection - Scabies, Tinea
Pemphigoid Gestation
Abdominal Pain DDx in Preg
OB* - PTL, Placental Abruption, Chorioamnionitis, PID, Uterine rupture, Preeclampsia, HELLP
Liver and GB - Acute Fatty liver of pregnancy, Cholecystitis
GI - GORD, PUD, Constipation, Hernias, Appendicitis, AGE
KUB - Cystitis, Pyelonephritis, Renal Colic
Placenta Previa RF
Surgeries - CS, Uterine, TOP
Maternal - Advance Age, High Parity, Multiple Preg, Smoking
Home Birth Criteria
Low risk pregnancy with no preexisting Mx
Singleton pregnancy
Baby is cephalic
Term Gestation
No previous CS or Uterine Atony
Vaginal Birth After CS Benefits/Risk
Benefits
- Shorter Hospital Stay, Faster Recovery
- Less Blood Loss
- Less Mortality Rate
- Avoid Further CS
Risk
- Uterine Rupture
- Damage to Private Organs
- Possible ECS
- Inc. Risk and Mortality to the Child
Caesarean Section Risk
Immediate (Mortality)
- Higher Bleeding
- Higher Mortality
- Surgery and Anesthesia Risk
Long Term
- Uterine rupture
- Placenta Previa
- Placenta Accreta
Advantage
- Less damage to pelvic organs
- Less prolapse and Incontinence
Baby Risk
- Mortality
- Breathing Problem
VBAC Contraindications
> 2 CS
Hx of Womb Rupture
Hx of Placenta Previa
Old Classical Cuts
Vaginal Pain DDx (Preg)
Pre-Term Labor
Pelvic Inflammatory Disease
STIs - Herpes, Chancroid, LGV
Bartholin Abscess
Perianal Abscess/ Hemorrhoids
Referred Pain - Skin Inf, KUB
Lump Down Below DDx (Female)
Uterine Prolapse
Vaginal Prolapse
Hemorrhoids/ Perianal Abscess
Hernia
Bartholin Cyst/Abscess
Lymph Adenopathy - Skin CA, STI’s
Gush Down Below (Preg) DDx
PPROM
Chorioamnionitis
Incontinence
UTI
Vaginal Bleeding due Trauma to Abdomen DDx (Preg)
Uterine Rupture
Placenta Abruptio
Pre-term Labor
Placenta Previa
Vaginal Bleeding
Cervical Cause - CA, Ectoprion
