Miscalaneous Flashcards
What proportion of BRCA positive women, undergoing risk reduction Salpingectomy, are found to have positive peritoneal washings?
10%!
What analgesia is standard of care after laparotomy (eg TAH but excluding LSCS)?
Morphine PCA
1mg bolus with 5 minute lock out
What proportion of women with PCOS are thought to remain undiagnosed?
70%!!!
By what % does TXA reduce menorrhagia?
40%
By what % does mefamamic acid reduce menorrhagia?
20%
By what % does TZA+mefamamic acid reduce menorrhagia?
60%
Recurrent miscariage is assocaiated with what uterine abnormality?
Septate uterus.
What type of uterine congenital abnormality must be treated surgically? Why?
Unicornuate uterus with rudimentary horn that is separate (not connected) because contains endometrium threfore is very painful and can lead to endometriosis.
What is the difference between progesterone and progestogen?
?? Progesterone is bio-identical
??Progestergen is not bio-identical therefore more androgonising therefore can cause hirtuism.
What are the two types of balloon tamponade? What is the difference between these?
Bakri’s balloon (has a tip at the top that allows blood to drain). This is more effective.
Rush doesn’t have a tip.
What needle is used for a Bakri?
70mm round bodied needle with vicryl.
Post natal, what size should the uterus be after the third stage
20 week size.
Back to a pelvic organ within 10 days.
When should the cervical os close post natally?
Day 3.
What should be asked at the 6 week check?
How are mum and baby?
BP and weight
FBC if symptoms
Smear up to date?
Contraception
GDM - glucose test.
Pelvic floor directed exercises.
When does lactogenesis start?
24 weeks.
What is the incidence of breast cancer in pregnancy?
1 : 3,000
(most common cancer diagnosed in pregnancy).
What is the average delay in diagnosing breast cancer in pregnancy?
5-7 months.
When can chemotherapy be given for breast cancer in pregnant women?
AFTER 1st trimester. But delivery should be >2 weeks after chemo to allow foetal bone marrow to recover.
(Radiotherapy after delivery)
(Tamoxifen and Trastuzumab CI in pregnancy).
What proportion of women experience urinary incontinence immediately after delivery vs ongoing symptoms?
1:3?? 1:2?? women immediately after delivery.
10-20% ongoing.
