Obstetrics Flashcards

1
Q

what is a chorionic haematoma?

A

pooling of blood between chorion and endometrium, due to their separation

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2
Q

what is the chorion?

A

outermost layers of embryo

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3
Q

features of chorionic haematoma?

A

bleeding
cramp
threatened miscarriage

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4
Q

Ix for chorionic haematoma?

A

US

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5
Q

Tx for chorionic haematoma?

A

surveillance

self limiting

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6
Q

what is antepartum haemorrhage?

A

bleeding after 24wks gestation

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7
Q

what is placenta previa?

A

placenta is partial/totally implanted in lower uterine segment

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8
Q

Rx for placenta previa?

A
smoking
multiple preg
abortions
infertility Tx
increased age
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9
Q

features of placenta previa?

A

painless
soft non tender uterus
baby in abnormal position
3rd trim bleeding

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10
Q

Ix for placenta previa?

A

TVUS (NO PV EXAM UNTIL IT IS EXCLUDED)

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11
Q

Tx for placenta previa?

A

caesarean if placenta covers os

anti D and steroids if bleed <36wks

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12
Q

what is placenta accreta?

A

placenta has invaded myometrium

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13
Q

what is placenta percreta?

A

placenta has invaded serosa

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14
Q

what is placental abruption?

A

partial/total separation of placenta before birth of fetus

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15
Q

Rx for placental abruption?

A
pre eclampsia
renal disease
diabetes
smoking
drugs
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16
Q

features of placental abruption?

A
bleeding
abdo pain
contractions
tenderness
difficulty feeling fetal parts
WOODY HARD UTERUS
17
Q

Ix for placental abruption? what are the sign?

A

CTG

decelerations and loss of variability

18
Q

what is polyhydramnios?

A

excess amniotic fluid

19
Q

features of polyhydramnios?

A
discomfort
wt gain
swelling
heartburn
tense abdo
decreased fetal movements
20
Q

Ix for polyhydramnios?

A

US

21
Q

what is hydrops fetalis?

A

abnormal fluid accumulation in two or more fetal compartments

22
Q

who is at risk of uterine rupture?

A

Hx of c section

23
Q

what is vasa previa?

A

when babies blood vessels run near the opening of the uterus

24
Q

features of vasa previa?

A

fetal distress

bleeding after membrane rupture

25
Q

what risk is there is vasa previa? why?

A

rupture of vessels when membranes rupture

due to being unsupported by umbilical cord

26
Q

Tx for placenta accreta?

A

usually a hysterectomy

27
Q

what is erb’s palsy? signs?

A

C5,6

adducted, medially rotated and wrist drop

28
Q

what is klumpe’s palsy? signs?

A

C8, T1

claw hand

29
Q

layers cut through in a c section?

A
sup fascia
deep fascia
ant rectus sheath
rectus abdominis
trans fascia
extra peritoneal CT
peritoneum
uterus