O&G Flashcards
34 y/o pregnant female
- severe itching
- worse at night
- affecting hands and feet
- no obvious rash
what does the patient most likely have?
obstetric cholestasis
what is the most effective treatment for obstetric cholestasis?
ursodeoxycholic acid
UCDA
what three management options can be offered to a patient if stress incontinence is predominant ?
- pelvic floor training
- surgical procedure
- duloxetine
31 y/o female
- progressive menstrual pain beginning few days before her period
- paracetamol and ibuprofen ineffective
- extreme discomfort on penetrative sex
likely condition?
endometriosis
classical history of
- severe dysmenorrhoea
- does not respond to NSAIDs
- deep dyspareunia
gold standard for diagnosing suspected endometriosis is:
laporoscopy
dangers of taking methotrexate in pregnancy
- teratogenic
- must be stopped 6 months prior to conception
- in both men and women
What is HELLP syndrome?
Severe form of pre-eclampsia
features involve:
- haemoloysis
- elevated liver enzymes
- low platelets
patient may present with
- malaise
- nausea
- vomiting
- headache
What is Lochia?
passage of blood, mucus and uterine tissue that occurs 4-6 weeks post birth
what is the puerperium?
period of childbirth approx 6 weeks after childbirth
where woman reproductive organs return to normal
an ultrasound of a pregnant women shoes ‘snow storm’ appearance with no foetal matter
what is most likely diagnosis?
complete hydatidiform mole
- occurs when all genetic material comes from father
describe when incomplete hydatidiform mole may occur?
occurs due to two sets of paternal chromosomes
and one set of maternal
may be foetal parts present
management of pregnancy female with isolated group b strep in high vaginal swab?
– intrapartum intravenous benzylpenicillin
(or clindamycin)
- to reduce neonatal transmission
which method of contraception if appropriate for transgender males?
the intrauterine copper device
22 y/o female to ED PC - severe, sudden onset, RHS lower abdomen pain - over past few hours - associated nausea and vomiting - pain unbearable
denies fever, PV bleeding, dysuria, or altered bowel habits
OE
- patient clutching at her right lower abdomen
- RLA tender on palpation
- normal bowel sounds
- palpable adnexal mass on pelvic examination
- negative pregnancy test
- urinalysis normal
- slightly t.cardic
likely diagnosis?
ovarian torsion
- may compromise blood supply
- if Fallopian tube involved then referred to as adnexal torsion
what might an US of ovarian torsion show?
Whirlpool sign
