LOs - Presenting Symptoms

Question 1

What are the presenting symptoms of amniotic fluid embolism?

Answer 1

Chills
Shivering
Sweating 
Anxiety
Coughing

Question 2

What are the presenting symptoms of Asherman’s Syndrome?

Answer 2

Secondary amenorrhoea after a surgical procedure for a pregnancy event
- Light periods/no periods/irregular periods

Menstruation pain without any bleeding

Recurrent miscarriages

Difficulty conceiving/infertility

Question 3

What are the presenting symptoms of asthma in pregnancy?

Answer 3

Asthma symptoms that come on for the first time in someone who doesn’t have it or that get worse in someone who has pre-existing asthma

• Coughing or wheezing, especially at night
• Chest feels tight
• Breathlessness

Question 4

What are the presenting symptoms of atrophic vaginitis?

Answer 4

Vaginal itching
Vaginal dryness
Dyspareunia
Bleeding due to localised inflammation

Question 5

What are the presenting symptoms of Bartholin’s Cyst/Abscess?

Answer 5

Cyst – Unilateral tender vaginal swelling between 1-4cm

Abscess – As with cyst but + hot, tender, red, potentially pus-draining

Question 6

What are the presenting symptoms of cervical cancer/CIN?

Answer 6

• Abnormal vaginal bleeding: postcoital, intermenstrual, or postmenopausal bleeding
• Vaginal discharge (can contain dead material, can be multiple colours and foul-smelling)
• Pelvic pain
• Dyspareunia

Question 7

What are the presenting symptoms of each type of postnatal mental health problem?

Answer 7

Baby blues – 3-7 days after birth, anxious, tearful, irritable

Postnatal depression – within 1 month after birth and peaks at 3 months, features similar to regular depression

Puerperal psychosis – usually within 2-3 weeks after birth, severe mood swings (similar to bipolar) and disordered perception (e.g. auditory hallucinations