Repro Presentations Flashcards
Androgen insensitivity syndrome clinical presentation and reproductive organ abnormalities
Present at puberty with primary amenorrhoea and lack of pubic hair
Testis develop but don’t descend
Female external genitalia
Absence of uterus and ovaries and short vagina
Features of obstructive male infertility
Normal testicular volume
Normal secondary sexual characteristics
Vas deferens may be absent
Normal LH, FSH and testosterone
Features of non-obstructive male infertility
Low testicular volume
Reduced secondary sexual characteristics
Vas deferens present
High LH, FSH and maybe low testosterone
Pelvic inflammatory disease presentation
Post-coital or intermenstrual bleeding
Lower abdominal pain
Dyspareunia
Mucopurulent cervicitis
Presentation of mycoplasma genitalium infection
Non-gonococcal urethritis
PID
Presentation of gonorrhoea in females
Asymptomatic (up to 50%) Increased/altered discharge Dysuria Pelvic pain (<5%) Pharyngeal and rectal usually asymptomatic
Presentation of primary HIV and how long after infection symptoms occur?
Fever Rash (maculopapular) Myalgia Pharyngitis Headache/aseptic meningitis
2-4 weeks after infection
What causes cervical shock and what are the presenting symptoms?
Vaso-vagal effect of POC passing through cervix causes reflex bradycardia Symptoms: Cramps N&V Sweating Fainting
Ectopic pregnancy presentation.
Pain more than bleeding Dizziness Collapse SOB Shoulder tip pain Pallor Haemodynamic instability Peritonism
Molar pregnancy presentation
Hyperemesis
Bleeding and passage of grape like tissue
Fundus is larger than dates
Ocassionally shortness of breath (molar tissue can embolise)
Implantation bleeding presentation
Around 10 days post-ovulation Bleeding is light/brownish and limited Soon signs of pregnancy emerge Occ mistaken for period Usually settles and pregnancy continues
Presentation of chorionic haematoma
Bleeding
Cramping
Threatened miscarriage
Usually self limiting and resolves
Large for dates definition
Symphyseal-fundal height >2cm for gestational age
Clinical features of polyhydramnios
Abdo discomfort Pre-labour rupture of membranes Preterm labour Cord prolapse Large for dates Malpresentation Tense shiny abdomen Inability to feel foetal parts
Symptoms and signs of multiple pregnancy
Exaggerated pregnancy symptoms (excessive sickness, hyperemesis gravidarum)
High AFP
Large for dates uterus
Multiple foetal poles
Presentation of poor foetal growth
Predisposing factors
Fundal height less than expected
Reduced liquor
Reduced foetal movements
Clinical features of anti-phospholipid syndrome in pregnancy
Arterial/venous thrombosis Recurrent early pregnancy loss Late pregnancy loss Placental abruption Severe early onset pre-eclampsia (PET) Severe early onset foetal growth restriction (FGR)
Presentation of HELLP syndrome (assoc with pre-eclampsia)
Haemolysis
Elevated Liver enzymes
Low Platelet count
