O&G Key Points 1 Flashcards
Tocolytics
Oxytocin receptor antagonist - Atosiban
PPROM prophylaxis
Erythromycin
Gentamicin in pregnancy causes what?
2nd or 3rd trimester - causes auditory or vestibulary damage
Augmentin in pregnancy causes what?
Foetal necrotising enterocolitis
Syphilis in pregnancy
Treat with procaine penicillin
GBS infection prophylaxis in preterm delivery
Benzylpenicillin
Parvovirus B19 infection
Flu like prodrome, big red rash on cheeks, itchy raised light pink rash on body, clears after 2 weeks
Increased risk of hydrops fetalis
Bacterial vaginosis
Gardnella vaginlis
Mx - metronidazole PO
Chalmydia
Uncomplicated - azithromycin/doxycycline
Pregnant - azithromycin/doxycycline
Contact all partners from last 6 months
Cervical intra-epithelial neoplasia (CIN)
Figo staging
CIN IA - invasive diagnosis only by microscopy - cone biopsy
CIN IB - visible lesion confined to microscopy - radical trachelectomy with lymphadenectomy if tumour <2cm otherwise radical hysterectomy with lymphadenectomy
CIN II - beyond uterus but not past the lower third of vagina or pelvic wall - chemoradiotherapy
CIN III - tumour extends to pelvic wall ± lower third of vagina ± hydronephrosis - chemoradiotherapy
CIN IVA - spread to bladder or rectum - chemoradiotherapy
CIN IVB - distant metastases - combination chemotherapy
Management of ectopic pregnancy
Medical - methotrexate + follow up
Surgical - salpingectomy/salpingotomy
Snow storm appearance on ultrasound scan
Molar pregnancy
VTE prophylaxis
LMWH till 6 weeks post partum
Correct position for cord prolapse
On knees and elbows till C section is ready
Ruptured ovarian cyst
Sudden onset unilateral pelvic pain precipitated by intercourse or strenuous activity
