LOs - Investigations + Results

Question 1

What are the appropriate investigations for amniotic fluid embolism and what results would confirm this?

Answer 1

Amniotic fluid embolism is a clinical diagnosis so no investigations are necessary

Question 2

What investigations are done for anaemia in pregnancy?

Answer 2

Pregnant women are screened for anaemia the booking visit (often 8-10 weeks) and at 28 weeks

Question 3

What investigations are done for Asherman’s Syndrome and what results are expected?

Answer 3

Hysteroscopy for diagnosis (adhesions visible in uterus)

Sonohysterography for extent of scar formation

Question 4

What investigations are done for Bartholin’s Cyst/Abscess and what results are expected?

Answer 4

Cyst – Biopsy may be needed to exclude vulval malignancy (esp >40y)
Abscess – swab of the pus draining for culture + Abx sensitivities
- (send specific swabs for chlamydia and gonorrhoea)

Question 5

What investigations are done for cervical cancer/CIN and what results are expected?

Answer 5

Urgent cancer referral for colposcopy

• Ulceration
• Inflammation
• Bleeding
• Visible tumour

Question 6

What investigation is used for depression in pregnancy and what are its features?

Answer 6

Edinburgh Postnatal Depression Scale

• 10 items, max score 30
• Indicates how mum has felt over last week
• Score >13 = ‘depressive illness of varying severity’
• Sensitivity and specificity >90%
• Includes a question about self-harm