Obstetric and Gynaecology Flashcards
Antibiotic for trichomoniasis
Metronidazole
What condition is charecterised by frothy yellow / green PV discharge and a strawberry cervix
Treatment
Trichomoniasis
Metronidazole
Most common site of an ectopic pregnancy ?
Ampulla of the fallopian tube
Treatment for bacterial vagionosis
Metronidazole
What is Fitz-Hugh-Curtis syndrome?
What most commonly causes it
Fitz-Hugh-Curtis syndrome is a rare disorder that happens when pelvic inflammatory disease (PID) causes swelling of the tissue around the liver
Chlamydia
Treatment for symptomatic pre-eclampsia (ie HTN, proteinuria AND symptoms)
Labetolol and magensium
First line anti emetic in hyperemesis gravidarum
Cyclizine or prochlorperazine
Most common cause of primary post partum haemorrhage
Uterine atony
Loading dose of magnesium in eclampsia?
Then maintenance
4g (5-15 mins)
infusion of 1 g/hour maintained for 24 hours
If a pregnant women is exposed to the varicella zoster virus before 28 weeks and is not immune, what tx should be given?
up to how long after exposure can it be given?
If the pregnant woman is not immune to VZV and she has had a significant exposure, she should be offered Post Exposure Prophylaxis (PEP). Oral antiviral therapy i.e. aciclovir (or valaciclovir) is recommended. It should be given from Day 7 to 14 post exposure.
When there is a contraindication or adverse effects to antivirals, VZIG may be considered as PEP. VZIG is effective when given up to 10 days after contact
Current NICE guidance recommends that a direct access ultrasound scan is organised to assess for endometrial cancer in women aged 55 and over with:
Unexplained symptoms of vaginal discharge who:
Are presenting with these symptoms for the first time or;
Have thrombocytosis or;
Report haematuria, or;
Visible haematuria and:
Low haemoglobin levels or;
Thrombocytosis or;
High blood glucose levels
Signs of severe disease in PID
Fever above 38°C
Clinical signs of tubo-ovarian abscess
Signs of pelvic peritonitis
Concurrent pregnancy
How quickly should anti-D immunoglobulin be given after a sensatising event?
72hrs
leading cause of foetal death in trauma in pregnancy
2nd
maternal shock
placental abruption
Threshold for endometrial thickness in investigating for endometrial Ca
5mm
