Obstetric, Gynaecology & GU 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
Potential complications of HELLP
DIC
Renal failure
Liver failure
Pulmonary oedema
Retinal detachment
Placental abruption
HELLP syndrome is characterised by
Haemolysis
ELevated liver enzymes
Low Platelet count
Anti-D is
IgG class antibody directed against the Rhesus D (RhD) antigen.
Recognising placenta previa vs abruption
Previa is painless
Abruption is suddenly painful
Up to what point can the copper IDU be inserted after unprotected intercourse?
5 days
Preferred oral emergency contraception drug name
Ulipristal acetate
For how long should barrier contraception be used after taking the oral emergency contraception?
5 days
In which patients is the oral emergency contraceptive pill contraindicated?
Severe asthma managed with oral steroids (has an antigluticorticoid effect)
In what time frame can the levongestrel ECP be used?
Within 72hrs after unprotected intercouse
In which stage of the cycle is the levongestrel ECP ineffective?
After ovulation
Verruca acuminata (condylomata acuminata) =
genital warts caused by HPV (6 or 11)
Clinical features of gonorrhoea in men include:
Urethritis (commonest presenting feature, occurs in around 80%)
Dysuria (in around 50%)
Rectal infections usually asymptomatic
The clinical features of gonorrhoea in women include:
Vaginal discharge (commonest presenting feature, occurs in around 50%)
Lower abdominal pain (in around 25%)
Dysuria (in 10-15%)
Chancroid caused by which organism
Haemophilus ducreyi
Treatment for Haemophilus ducreyi (chancroid)
1 gram of azithromycin, or a single IM dose of ceftriaxone
Differentiate between chancroid and syphylis ulcer
Chancroid ulcers are painful
