Gynaecology - Early pregnancy bleeding, hyperemesis gravidarum Flashcards

1
Q

Early pregnancy bleeding

Causes

A
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2
Q

Early pregnancy bleed

History taking questions

A
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3
Q

Early pregnancy bleed

Physical exam

A
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4
Q

Early pregnancy bleed

Investigations

A
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5
Q

Miscarriage

Definition

A
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6
Q

Miscarriage

Fetal factors

A
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7
Q

Miscarriage

Maternal factors

A
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8
Q

Threatened miscarriage

Features

A
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9
Q

Silent miscarriage

Features

A
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10
Q

Inevitable miscarriage

Features

A
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11
Q

Incomplete miscarriage

Features

A
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12
Q

Complete miscarriage

Features

A
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13
Q

Recurrent miscarriage

Septic miscarriage

Features

A
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14
Q

Compare clinical findings between types of miscarriage

A
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15
Q

Approach to miscarriage

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16
Q

Miscarriage

P/E

A
17
Q

Miscarriage

Ix

A
18
Q

Protocol for diagnosis of silent miscarriage

A
19
Q

Diagnosis of incomplete miscarriage

A
20
Q

General management of miscarriage

A

Medical management:
- Vaginal misoprostol
- pregnancy test in EPAC 3w after medical Tx

Surgiacal management:
- Suction evactuation
- Indicated when urgent evacuation of POG is needed i.e. in heavy bleeding, unstable maternal conditions or septic miscarriage

Subsequent F/U:
- OPD F/U in 6w for return of menstruation and cessation of vaginal bleeding
- Urine pregnancy test at 6w (3w in NICE) to exclude molar pregnancy if no histopathological confirmation of POG

21
Q

Threatened miscarriage

Management

A
22
Q

Complete miscarriage

Management

A
23
Q

Incomplete and silent miscarriage

Management options
Considerations

A
24
Q

Incomplete and silent miscarriage

Compare management options: indication, contraindication, pros, cons, success rate

A
25
Q

Expectant management for incomplete/ silent miscarriage

Details

A
26
Q

Medical management for incomplete/ silent miscarriage

Details

A
27
Q

Surgical management for incomplete/ silent miscarriage

Details

A
28
Q

Recurrent miscarriage

Management

A
29
Q

Hyperemesis gravidarum

Definition

A
30
Q

Hyperemesis gravidarum

Pathogenesis

A
31
Q

Hyperemesis gravidarum

Diagnosis

A
32
Q

Hyperemesis gravidarum

Clinical course
Complications

A
33
Q

Hyperemesis gravidarum

History taking questions
P/E

A
34
Q

Hyperemesis gravidarum

Ix

A
35
Q

Hyperemesis gravidarum

Resuscitation

A
36
Q

Hyperemesis gravidarum

Treatment, prevention

A