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AC2 lectures > Gynae emergencies > Flashcards

Gynae emergencies Flashcards

1
Q

How do twisted ovaries present? (6)

A 
Stabbing pain
LIF / RIF
History of cysts
Cannot normally be seen on scan
Acute rise in lactate
Increasing pain relief required

-normally a clinical diagnosis

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2
Q

How to treat twisted ovary?

A

Laparoscopic surgery

  • consider removal of cyst
  • consider removal of ovary if looks dead
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3
Q

Investigation & Management of menorrhagia?

A

Bloods - hb, clotting, group&save

Tranexamic acid (antifibrinolytic)
Norethisterone (synthetic progesterone)
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4
Q

What is cervical excitation?

A

movement of the cervix on VE
disproportionate pain felt
peritoneum moved
same principle as rebound tenderness

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AC2 lectures (10 decks)

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