Abdominal Pain In Pregnancy Flashcards Preview

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Flashcards in Abdominal Pain In Pregnancy Deck (9)
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Abdominal pain that can occur in any trimester? Location? Associated symptoms? Treatment?

Appendicitis

RLQ – in pregnancy, pain is Superior and lateral to McBurney's point (Pyelonephritis.);

N/V, anorexia, leukocytosis, fever

Surgery regardless of gestational age

1

Cholecystitis or biliary colic – when during pregnancy? Location? Associated symptoms? Treatment

After first trimester; RUQ

Nausea/vomiting, anorexia, leukocytosis, fever (No infection/fever in biliary colic)

If biliary colic, treat with low-fat diet until postpartum;

if cholecystitis/biliary obstruction/pancreatitis – surgery

2

Ovarian torsion – when during pregnancy? Location? Associated symptoms? Treatment

At 14 weeks or after delivery

Unilateral abdomen

Nausea/vomiting

Surgery. – Ovarian cystectomy if twisting results in reperfusion; otherwise oophorectomy

3

Placental abruption – when during pregnancy? Location? Associated symptoms? Treatment

Second/third trimester

Persistent Midline /Uterine

Vaginal bleeding and abnormal fetal heart tracings

Delivery

4

Ectopic pregnancy – when during pregnancy? Location? Associated symptoms? Treatment

First trimester

Unilateral pelvic/abdominal

Nausea/vomiting, syncope, spotting

Surgery or methotrexate

5

Delay in diagnosis of appendicitis and third trimester may lead to?

Preterm labor for abortion

6

Ovarian torsion most frequent complication of?

Ovarian cyst

7

Unreliable test for placental abruption?

Ultrasound

8

Pt with suspected pancreatitis – next diagnostic step?

Ultrasound