15: MAternal Disorders

Question 1

When the cervical canal is < 2.5 cm in length

Answer 1

Incompetent Cervix

Question 2

risk factors if Uterine Rupture

Answer 2

Prio CS

unicomuate uterus, prior uterine curettage, “trapped
uterus” (persistent retroflexion from adhesions), and interstitial implantation.

Question 3

This is the most severe form of pre-eclampsia, and favors young primigravid women in their trimester.

Answer 3

HELLP Syndrome:

Hemolysis
Elevated Liver Enzymes
Low Platelets.

Question 4

Scenario:

Pregnant + Subcapsular hepatic hematoma =

Answer 4

think of

HELLP Syndrome

Question 5

This is pituitary apoplexy seen in postpartum female who suffer from large volume hemorrhage (causing acute hypotension).

Answer 5

Sheehan Syndrome

Question 6

Answer 6

Sheehan Syndrome

acute it will probably be T1 bright (if they show a picture). Ring enhancement around an empty sella is a late look.

Question 7

Answer 7

Ovarian Vein Thrombophlebitis

enlarged ovary and a thrombosed adjacent ovarian vein

Question 8

Answer 8

Retained Products of Conception

echogenic mass within the uterine cavity

irregular thickening of the endometrium (>10mm) with some reflective structures and shadowing - representing
the fetal parts.

Question 9

Broadly speaking, it is an inflammation or infection of the endometrium.

Answer 9

Endometritis

Question 10

Fever + uterine tenderness + Hx of recent CS/prolonged labor =

Answer 10

Endometritis

thickened, heterogenous endometrium, with or without fluid / air.