O&G: Presentations

Question 1

A 39 year old woman, 38 + 2 weeks gestation, G0, P0 is in labour and is found to be fully dilated since her last VE. The head of the baby has been delivered, but normal downward traction has failed to deliver the shoulders. She has a BMI of 26, with type II diabetes. Previous ultrasound predicted a foetal weight as 3.9 kg. What is the most likely diagnosis?

Answer 1

Shoulder Dystocia

Question 2

A 20 year old female, G0 P0 presents to her GP with irregular periods, hirsuitism and acne. Her mother has type II diabetes. What is the most likely diagnosis?

Answer 2

Polycystic Ovarian Syndrome

-A constellation of symptoms associated with polycystic ovaries.

Question 3

A 29 year old nulliparous woman presents to her GP complaining of dysmenorrhoea, dyspareunia and PR bleeding upon menstruation. What is the most likely diagnosis?

Answer 3

Endometriosis