obs Flashcards

1
Q

whats the relative cut off between obs and gyne history taking for a pregnant woman

A

It’s also worth noting that before 18 weeks gestation, most obstetric conditions are unlikely, therefore your history should be gynaecology focussed (e.g. abdominal pain at 8 weeks gestation could be an ectopic pregnancy).

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2
Q

gravitity

A

how many pregnancies regardless of outcome

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3
Q

parity

A

how many births (incl still birth)

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4
Q

still birth

A

> 24 weeks

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5
Q

when is previa more likely to happen

A

secind trimester >20 weeks

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6
Q

1st trimester

A

<12 weeks

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7
Q

2nd trimester

A

13 -27 weeks

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8
Q

signs of previa

A

abdo pain ? but usually painless
bright red vaginal bleedomg

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9
Q

pregnant woman comes in bleeding dx

A

miscarriage
previa /abruption
ectropion
sti

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10
Q

pruritus

A

cholestatic status

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11
Q

unilateral leg swellling dx

A

DVT

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12
Q

signs of preclampsia

A

headache
vision loss
proetinuria
abdominal pain

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13
Q

chest pain dx

A

PE

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14
Q

DX FEVER

A
  1. UTI
  2. chorioamniotis
  3. septic abortion
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15
Q

when does HG usually begin and go away

A

1st trimester 4-8 weeks of pregnancy and usually goes away in 2nd trimester but can persisit throughout the whole pregnancy

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16
Q

when do you start to feel fetal mvements

A

16-24 weeks

primigravida women will often not feel fetal movements until after 20 weeks gestation).

17
Q

in regards to discharge what do you ask since its normal to have a little discharge

A

anything thats changed from the usual discharge

volume
consistency
colour
smell.

18
Q

fish like smell

A

BV

19
Q

what is a incompetent cervix

A

normlaly the cervix will shorten and and dilate when baby is full term but this happens early and is a cause of miscarriage

20
Q

early vs late miscarriage

A

early 1st trimetster
late after and before 24 weeks

21
Q

what is a missed misscarriage

A

when the baby dies but you dont realise it and your body gives no sign of miscrriage so you still think you are pregnant.

22
Q

is it normal to bleed in pregnancy

A

yes in early pregancy especially spotting,

23
Q

when do symptoms of ectopic typically occur

A

first trimester

after 4 weeks?

24
Q

key thing about ectopic in history

A

shoulder tip pain