Tuesday, January 29, 2008

Obgyn

Oral contraceptive complications: warning signs

ACHES:
Abdominal pain
Chest pain
Headache (severe)
Eye (blurred vision)
Sharp leg pain
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---Carrie Davis, RNC, MSN, WHNP Obici Health System
 

Abdominal pain: causes during pregnancy

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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---Graeme Little University College London
 

Post-partum haemorrhage (PPH): causes

4 'T's:
Tissue (retained placenta)
Tone (uterine atony)
Trauma (traumatic delivery, episiotomy)
Thrombin (coagulation disorders, DIC)
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---Nicholas Kelly
 

Ovarian cancer: risk factors

"Blue FILM":
Breast cancer
Family history
Infertility
Low parity
Mumps
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---Sung H. Kim
 

Prenatal care questions

ABCDE:
Amniotic fluid leakage?
Bleeding vaginally?
Contractions?
Dysuria?
Edema?
Fetal movement?
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---Jason Bermak UC Irvine
 

Forceps: indications for use

FORCEPS:
Fully dilated cervix
0 ["Zero"] CPD
Ruptured membranes
Cephalic or at least deliverable presentation/ Contracting uterus
Episiotomy done/ Epidural done
P!ss and S#!t (bladder and bowel empty)
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---Simon Holliday St. George's Hospital Medical School, UK
 

Asherman syndrome features

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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---Rinku Uberoi UNIBE
 

Vaginal pH

Vagina has 4 labia and normal pH of vagina is about 4.
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---Anonymous Contributor
 

Gestation period, oocytes, vaginal pH, menstrual cycle: normal numbers

4 is the normal pH of the vagina.
40 weeks is the normal gestation period.
400 oocytes released between menarche and menopause.
400,000 oocytes present at puberty.
28 days in a normal menstrual cycle.
280 days (from last normal menstrual period) in a normal gestation period.
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---Anonymous Contributor
 

CVS and amniocentesis: when performed

"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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---Anonymous Contributor

11

Spontaneous abortion: definition

"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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---Rinku Uberoi
 

Female pelvis: shapes

GAP:
· In order from most to least common:
Gynecoid
Android /Anthropoid
Platypelloid
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---Anonymous Contributor
 

Pelvic Inflammatory Disease (PID): complications

I FACE PID:
Infertility
Fitz-Hugh-Curitis syndrome
Abscesses
Chronic pelvic pain
Ectopic pregnancy
Peritonitis
Intestinal obstruction
Disseminated: sepsis, endocarditis, arthritis, meninigitis
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---Lum
 

B-agonist tocolytic (C/I or warning)

ABCDE:
Angina (Heart disease)
BP high
Chorioamnionitis
Diabetes
Excessive bleeding
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---Lum
 

Secondary amenorrhea: causes

SOAP:
Stress
OCP
Anorexia
Pregnancy
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---Nathan Sachdev University of New South Wales, Sydney
 

Post-partum haemmorrage (PPH): risk factors

PARTUM:
Polyhydroamnios/ Prolonged labour/ Previous cesarian
APH/ ANTH
Recent bleeding history
Twins
Uterine fibroids
Multiparity
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---Nathan Sachdev University of New South Wales, Sydney
 

Fetus: cardinal movements of fetus

"Don't Forget I
Enjoy Really Expensive Equipment":
Descent
Flexion
Interal rotation
Extension
Restitution
External rotation
Expulsion
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---Anonymous Contributor
 

Parity abbreviations (ie: G 3, P 2012)

"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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---Megan Duffy Medical student, AZCOM
 

Preeclampsia: classic triad

PREeclampsia:
Proteinuria
Rising blood pressure
Edema
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---Anonymous Contributor
 

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

TOLD:
Testicular tumours
Obituary (fetal death)
Liver: hepatomas
Defects (neural tube defects)
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---Isae Kilonzo University College Cork, Ireland

21

Dysfunctional uterine bleeding (DUB): 3 major causes

DUB:
Don't ovulate (anovulation: 90% of cases)
Unusual corpus leuteum activity (prolonged or insufficient)
Birth control pills (since increases progesterone-estrogen ratio)
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---Dr. Atif Farooq Khawaja Rawalpindi Medical College, Pakistan
 

IUGR: causes

IUGR:
Inherited: chromosomal and genetic disorders
Uterus: placental insufficency
General: maternal malnutrition, smoking
Rubella and other congenital infecton
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---Anthony Chan
 

Early cord clamping: indications

RAPID CS:
Rh incompatibility
Asphyxia
Premature delivery
Infections
Diabetic mother
CS (caesarian section) previously, so the funda is RAPID CS
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---Rajeev and Ashish Doctors, RNTMC, UDP
 

Oral contraceptives: side effects

CONTRACEPTIVES:
Cholestatic jaundice
Oedema (corneal)
Nasal congestion
Thyroid dysfunction
Raised BP
Acne/ Alopecia/ Anaemia
Cerebrovascular disease
Elevated blood sugar
Porphyria/ Pigmentation/ Pancreatitis
Thromboembolism
Intracranial hypertension
Vomiting (progesterone only)
Erythema nodosum/ Extrapyramidal effects
Sensitivity to light
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---Dr. Harsh Sharma BJMC, Pune, India
 

Pelvic Inflammatory Disease (PID): causes, effects

"PID CAN be EPIC":
· Causes:
Chlamydia trachomatis
Actinomycetes
Neisseria gonorrhoeae
· Effects:
Ectopic
Pregnancy
Infertility
Chronic pain
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---Scott Alexander Loma Linda University SOM
 

RLQ pain: brief female differential

AEIOU:
Appendicitis/ Abscess
Ectopic pregnancy/ Endometriosis
Inflammatory disease (pelvic)/ IBD
Ovarian cyst (rupture, torsion)
Uteric colic/ Urinary stones
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---Sushant Varma University of Sheffield, UK
 

Forceps: indications for delivery

FORCEPS:
Foetus alive
Os dilated
Ruptured membrane
Cervix taken up
Engagement of head
Presentation suitable
Sagittal suture in AP diameter of inlet
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---Anonymous Contributor
 

Delivery: instrumental delivery prerequisites

AABBCCDDEE:
Analgesia
Antisepsis
Bowel empty
Bladder empty
Cephalic presentation
Consent
Dilated cervix
Disproportion (no CPD)
Engaged
Episiotomy
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---Harold Choi Medical student in Singapore
 

APGAR score components

SHIRT:
Skin color: blue or pink
Heart rate: below 100 or over 100
Irritability (response to stimulation): none, grimace or cry
Respirations: irregular or good
Tone (muscle): some flexion or active
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---Kimberly Scott Medical College of Virginia
 

Postpartum collapse: causes

HEPARINS:
Hemorrhage
Eclampsia
Pulmonary embolism
Amniotic fluid embolism
Regional anaethetic complications
Infarction (MI)
Neurogenic shock
Septic shock
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---Hossam Elzeiny Trainee, Royal Womens Hospital, Victoria, Australia

31

Multiple pregnancy complications

HI, PAPA:
Hydramnios (Poly)
IUGR
Preterm labour
Antepartum haemorrhage
Pre-eclampsia
Abortion
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---Ashley Liew University of Glasgow, UK
 

Omental caking: likeliest cause

Omental CAking = Ovarian CA
· "Omental caking" is term for ascities, plus a fixed upper abdominal and pelvic mass. Almost always signifies ovarian cancer.
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---Anonymous Contributor
 

IUD: side effects

PAINS:
Period that is late
Abdominal cramps
Increase in body temperature
Noticeable vaginal discharge
Spotting
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---Anonymous Contributor
 

Labour: preterm labor causes

DISEASE:
Dehydration
Infection
Sex
Exercise (strenuous)
Activities
Stress
Environmental factor (job, etc)
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---Alycia Ernst Banner Health AZ
 

Polycystic Ovarian Syndrome (PCOS): first line treatment

Treat PCOS with OCP's (oral contraceptive pills).
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---Anonymous Contributor
 

Antepartum hemorrhage (APH): major differential

APH:
Abruptio placentae
Placenta previa
Hemorrhage from the GU tract
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---Anonymous Contributor
 

Miscarriage: recurrent miscarriage causes

RIBCAGE:
Radiation
Immune reaction
Bugs (infection)
Cervical incompetence
Anatomical anomaly (uterine septum etc.)
Genetic (aneuploidy, balanced translocation etc.)
Endocrine
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---Jonty Kay Medical Student, University of Cape Town
 

Shoulder dystocia: management

HELPER:
Call for Help
Episiotomy
Legs up [McRoberts position]
Pressure subrapubically [not on fundus]
Enter vagina for shoulder rotation
Reach for posterior shoulder and deliver posterior shoulder/ Return head into vagina [Zavanelli maneuver] for C-section/ Rupture clavicle or pubic symphisis
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---Robert O'Connor Memorial University Newfoundland, Canada Family Medicine Residency