Obstetrics mnemonics-Table 1 Flashcards

1
Q

Post-partum examination simplified checklist

A
BUBBLES:
Breast
Uterus
Bowel
Bladder
Lochia
Episotomy
Surgical site (for Cesarean section)
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2
Q

Abdominal pain: causes during pregnancy

A

LARA CROFT:

Labour
Abruption of placenta
Rupture (eg. ectopic/ uterus)
Abortion
Cholestasis
Rectus sheath haematoma
Ovarian tumour
Fibroids
Torsion of uterus
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3
Q

what is the most common anemia in pregnant women with associated indices changes?

A

Iron

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4
Q

how do you treat iron def anemia inpregnancy

A

ferrous sulfate tablet

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5
Q

Preeclampsia: classic triad

A

PREeclampsia:

Proteinuria
Rising blood pressure
Edema

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6
Q

What is the most common anemia in pregnant women without major indices changes?

A

Physiologic or compensated anemia aka. dilutional

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7
Q

Prenatal care questions

A

ABCDE:

Amniotic fluid leakage?
Bleeding vaginally?
Contractions?
Dysuria?
Edema?
Fetal movement?
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8
Q

Asherman syndrome features

A

ASHERMAN:

Acquired Anomaly
Secondary to Surgery
Hysterosalpingography confirms diagnosis
Endometrial damage/ Eugonadotropic
Repeated uterine trauma
Missed Menses
Adhesions
Normal estrogen and progesterone
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9
Q

investigations ,PRENATAL DIAGNOSIS,timings

A
Uk-CAT
U............USG...............6-40WKS.
C...........CVS................9-12
A..........AMNIOCENTESIS..15-18
T............TRIPLE TEST.......16-18
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10
Q

CVS and amniocentesis: when performed

A

“Chorionic” has 9 letters and Chorionic villus sampling performed at 9 weeks gestation.
“AlphaFetoProtein” has 16 letters and it’s measured at 16 weeks gestation.

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11
Q

Spontaneous abortion: definition

A

“Spontaneous abortion” has less than 20 letters [it’s exactly 19 letters].
Spontaneous abortion is defined as delivery or loss of products of conception at less than 20 weeks gestation.

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12
Q

recommended folate during pregnancy

A

.8mg daily or 1mg if past neural tube defect

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13
Q

what are the types of NTD?

A

Spina bifida, encephalocele, anencephaly

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14
Q

Fetus: cardinal movements of fetus

A

Don’t Forget I Enjoy Really Expensive Equipment”:

Descent
Flexion
Interal rotation
Extension
Restitution
External rotation
Expulsion
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15
Q

Parity abbreviations (ie: G 3, P 2012)

A

“To Peace And Love”:
T: of Term pregnancies
P: of Premature births
A: of Abortions (spontaneous or elective)
L: of Live births
· Describes the outcomes of the total number of pregnancies (Gravida).

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16
Q

Alpha-fetoprotein: causes for increased maternal serum AFP during pregnancy

A

“Increased Maternal Serum Alpha Feto Protein”:

Intestinal obstruction
Multiple gestation/ Miscalculation of gestational age/ Myeloschisis
Spina bifida cystica
Anencephaly/ Abdominal wall defect
Fetal death
Placental abruption
17
Q

IUGR: causes

A
IUGR:
Inherited: chromosomal and genetic disorders
Uterus: placental insufficency
General: maternal malnutrition, smoking
Rubella and other congenital infecton
18
Q

FORCEPS/VACUUM DELIVERY

A

A - Anaesthesia/Assistance( anaesthetist, colleague,paediatrician) Think and prepare for shoulder dystocia
B- Bladder empty
C- Cervix fully dilated
D- determine position
E- Explain to the patient/ exit plan if it fails, ready for cesarean section
F - Fontanelle ( to check position )
G - Gentle traction
H- Handle elevated for forceps
Halt for vacuum ( no descent with 3 pulls, 3 times pop off )
I - Incision/Episiotomy
J- remove forceps when jaw visible

19
Q

Indications of cesearian section

A

MICE CAME
M- Malpresentation
I- Induction failure
C- Cephalopelvic disproportion,contracted pelvis
E - Eclampsia
C- Cervical cancer
A- antepartum hemorrhge(Abruptio, placenta previa)
M- medical illness complicating pregnancy
E- Elderly primi

20
Q

DYSTOCIA

A
CAUSES:Remeber 4 Ps.
Passenger (large baby)
Passage (Abnormal Pelvis)
Propulsion (uterine contraction)
Proprotion (disproportion Cephalo-pelvic)
21
Q

Miscarriage: recurrent miscarriage causes

A
RIBCAGE:
Radiation
Immune reaction
Bugs (infection)
Cervical incompetence
Anatomical anomaly (uterine septum etc.)
Genetic (aneuploidy, balanced translocation etc.)
Endocrine
22
Q

Cardiotocogram (CTG) interpretation Dr. C. BraVADO

A
Define Risk
Contractions (in 10 mins)
Baseline Rate (should be 110-160)
Variability (should be greater than 5)
Accelerations
Decelerations
Overall (normal or not)