obs Flashcards
whats the relative cut off between obs and gyne history taking for a pregnant woman
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).
gravitity
how many pregnancies regardless of outcome
parity
how many births (incl still birth)
still birth
> 24 weeks
when is previa more likely to happen
secind trimester >20 weeks
1st trimester
<12 weeks
2nd trimester
13 -27 weeks
signs of previa
abdo pain ? but usually painless
bright red vaginal bleedomg
pregnant woman comes in bleeding dx
miscarriage
previa /abruption
ectropion
sti
pruritus
cholestatic status
unilateral leg swellling dx
DVT
signs of preclampsia
headache
vision loss
proetinuria
abdominal pain
chest pain dx
PE
DX FEVER
- UTI
- chorioamniotis
- septic abortion
when does HG usually begin and go away
1st trimester 4-8 weeks of pregnancy and usually goes away in 2nd trimester but can persisit throughout the whole pregnancy
when do you start to feel fetal mvements
16-24 weeks
primigravida women will often not feel fetal movements until after 20 weeks gestation).
in regards to discharge what do you ask since its normal to have a little discharge
anything thats changed from the usual discharge
volume
consistency
colour
smell.
fish like smell
BV
what is a incompetent cervix
normlaly the cervix will shorten and and dilate when baby is full term but this happens early and is a cause of miscarriage
early vs late miscarriage
early 1st trimetster
late after and before 24 weeks
what is a missed misscarriage
when the baby dies but you dont realise it and your body gives no sign of miscrriage so you still think you are pregnant.
is it normal to bleed in pregnancy
yes in early pregancy especially spotting,
when do symptoms of ectopic typically occur
first trimester
after 4 weeks?
key thing about ectopic in history
shoulder tip pain
