OB/GYN Emergencies Flashcards
1
Q
- risk factors: ovarian cysts, PCOS, ovarian masses
- surgical emergency
A
ovarian torsion
2
Q
- Not a surgical emergency
- can be vary painful
- dx: transvaginal ultrasoun
- Return precautions
A
ovarian cysts
placing pt on birth control can prevent further cysts
3
Q
- triad: fever, RLQ/periumbilical pain, anorexia
- laboratory workup will often show leukocytosis
- dx: migratory pain- initially starting in the periumbilical area and migrating to the lower right quadrant
- may need to obtain CT scan of the abdomen and pelvis if ultrasound is unable to evaluate
A
Appendicitis
Mcburney’s point 2/3 of the way to umbilicus to ASIS
4
Q
- complications of PID (can result in sepsis or rupture)
- dx: Ultrasound
- tx: antibiotics and gyn consult (possible surgical intervention/drainage)
A
Tuboovarian abscess
5
Q
- A flagellated protozoan that is transmitted sexually
- symptoms: malodorous, vaginal discharge (green/yellow) postcoital bleeding, dyspareunia, dysuria and urinary frequency
- cervical petichiae (strawberry cervix)
ds: pelvic exam- wet mount
tx: metronidazole
A
Trichomoniasis vaginalis
6
Q
ph
A
trich and vaginosis will be above 5
4.5 for yeast infection
7
Q
diagnosis of premature rupture of membranes
A
- sterile speculum exam (avoid digital vaginal exam)
- nitrazine paper test: turns blue in pH greater than 6.5
- fern test: amniotic fluid will dry in a fern pattern
8
Q
- Infected gland
- sx: pain and tenderness
- PE: unilateral swelling. fluctuant if abscess
- dx: Exam and STD testing
- tx: I & d with abx (if asymptomatic no intervention needed)
A
Bartholin’s cyst
9
Q
abnormal uterine bleeding can be due to
A
PALM- COEIN
- Polyp
- adenomyosis
- leiomyoma
- malignancy
- coagulopathy
- ovulatory
- endometrial
- iatrogenic
- not yet classified
10
Q
- abdominal pain
- vaginal bleeding
- hx of positive pregnancy test
- left shoulder pain w/ ruptured
- could be in shock, hypotension, tachycardia, syncope
A
Ectopic pregnancy
