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
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