Other conditions

Question 1

What is PPROM?

Answer 1

Prelabour premature rupture of membranes

Question 2

What is PPROM associated with?

Answer 2

Oligohydramnios
Chorioamnionitis
Premature delivery

Question 3

What investigations are done for PPROM?

Answer 3

Sterile speculum exam
Pelvic US
AVOID bimanual

Question 4

Why is bimanual not done in PPROM?

Answer 4

Infection risk

Question 5

What is the management of PPROM?

Answer 5

Admission
10 days oral erythromycin
Steroids and induce at 34 weeks

Question 6

What does HELLP stand for?

Answer 6

HAemolysis, Elevated Liver enzymes and Low Platelets

Question 7

What is HELLP?

Answer 7

Serious manifestation of pre-eclampsia

Question 8

What s the presentation of HELLP?

Answer 8

Hypertension
Abdo pain and vomiting
Jaundice
Bleeding

Question 9

What is the presentation of obstetric cholestasis?

Answer 9

Intense pruritus, especially of palms, soles and abdomen

Jaundice

Question 10

What investigations are done doe obstetric cholestasis?

Answer 10

LFTs- Increased bilirubin and LFTs, especially ALP

Question 11

What is the management of obstetric cholestasis?

Answer 11

Urodeoxycholic acid UDCA

Induction at 37 weeks

Question 12

What is acute fatty liver of pregnancy?

Answer 12

Rare complication in 3rd trimester/immediately following delivery

Question 13

What is the presentation of acute fatty liver of pregnancy?

Answer 13

Abdo pain, N&V
HEadache
Jaundice

Question 14

What investigations are done for acute fatty liver of pregnancy?

Answer 14

LFTs- raised LFTs, esp ALT