O&G: Spot diagnosis

Question 1

Painless PV bleeding in third trimester of pregnancy; sudden and profuse, triggered by intercourse

Answer 1

APH: secondary to placenta praevia

Question 2

Painful PV bleeding in third trimester of pregnancy

Tense, tender and woody uterus

Answer 2

APH: secondary to placental abruption

Question 3

Secondary PPH, fever and signs of infection

- Rx?

Answer 3

Endometritis

• IV tazocin
• Management of bleeding

Question 4

Secondary PPH; elevated and boggy fundus

- Rx?

Answer 4

RPOC

• Surgical curretage
• Management of bleeding

Question 5

Placenta praevia and previous c-section

• Treat as if…?
• What does this care bundle involve?

Answer 5

Placenta accreta
Consultant obs + anaes, HDU bed ready, blood and blood products ready, discuss and consent for possible need for hysterectomy, MDT care

Question 6

First trimester bleeding.

• If bleeding, followed by pain
• If severe pain, followed by bleeding

Answer 6

• Miscarriage

- Ectopic