miscellaneous Flashcards
what guidelines allow young patients to consent to advise/treatment around sexual health, without parental involvement
fraser guidelines
what can be put in place for adults who do not have capacity to make decisions regarding their sexual health
adults with incapacity - provides an advocate to make the decisions in their best interest
what is used to assess a child’s capacity to consent
gillick competency
management of raised ICP in palliative care
cyclizine or dexamethasone
management of movement related nausea in palliative care
antihistamine + CCB
what is the investigation pathway for trisomy screening in pregnancy
1st sem: serum markers and nuchal thickness
then non-invasive prenatal testing
then either CVS or amniocentesis
what is involved in non-invasive prenatal testing
tests free foetal DNA in maternal serum
when is an amniocentesis performed
> 15 weeks
when can a CVS be performed
11-14 weeks
what is the risk of a child being affected if a parent has an autosomal dominant condition
50%
risk of child being affected by an autosomal recessive condition if parents are carriers
25%
what is used to predict due date and how does it work
naegeles rule
nine months + 7 days since onset of last menstrual period (280 days)
when is prophylaxis for rhesus incompatibility given
28 weeks + any sensitising events
AND at birth if the baby is rhesus positive
when is placental site investigated antenatally
anomaly scan at 20 weeks
what is trisomy 13
pataus syndrome
what is trisomy 18
edwards syndrome
what supplements should all women take through pregnancy
400mg folic acid
10mg vitamin D
what is the main imaging used in obstetrics and gynaecology
ULTRASOUND !!
what are the 2 main types of ultrasound scanning techniques
transabdominal and transvaginal
why should we try to minimise the use of CT in women
significant radiation dose to the ovaries
name some contraindications of MRI
pacemakers, metallic heart valves, nerve stimulators, cochlear implants
what is the role of hysterosalpingography
assessment of tubal patency in patients with infertility
