Gynaecology - Early pregnancy bleeding, hyperemesis gravidarum Flashcards by Max Kam

Q

Early pregnancy bleeding

Causes

A

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Q

Early pregnancy bleed

History taking questions

A

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Q

Early pregnancy bleed

Physical exam

A

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Q

Early pregnancy bleed

Investigations

A

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Q

Miscarriage

Definition

A

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Q

Miscarriage

Fetal factors

A

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Q

Miscarriage

Maternal factors

A

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Q

Threatened miscarriage

Features

A

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Q

Silent miscarriage

Features

A

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Q

Inevitable miscarriage

Features

A

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Q

Incomplete miscarriage

Features

A

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Q

Complete miscarriage

Features

A

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Q

Recurrent miscarriage

Septic miscarriage

Features

A

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Q

Compare clinical findings between types of miscarriage

A

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Q

Approach to miscarriage

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Q

Miscarriage

P/E

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A

Q

Miscarriage

Ix

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A

Q

Protocol for diagnosis of silent miscarriage

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A

Q

Diagnosis of incomplete miscarriage

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A

Q

General management of miscarriage

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A

Medical management:
- Vaginal misoprostol
- pregnancy test in EPAC 3w after medical Tx

Surgiacal management:
- Suction evactuation
- Indicated when urgent evacuation of POG is needed i.e. in heavy bleeding, unstable maternal conditions or septic miscarriage

Subsequent F/U:
- OPD F/U in 6w for return of menstruation and cessation of vaginal bleeding
- Urine pregnancy test at 6w (3w in NICE) to exclude molar pregnancy if no histopathological confirmation of POG

Q

Threatened miscarriage

Management

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A

Q

Complete miscarriage

Management

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A

Q

Incomplete and silent miscarriage

Management options
Considerations

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A

Q

Incomplete and silent miscarriage

Compare management options: indication, contraindication, pros, cons, success rate

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A

Expectant management for incomplete/ silent miscarriage Details

Medical management for incomplete/ silent miscarriage Details

Surgical management for incomplete/ silent miscarriage Details

Recurrent miscarriage Management

Hyperemesis gravidarum Definition

Hyperemesis gravidarum Pathogenesis

Hyperemesis gravidarum Diagnosis

Hyperemesis gravidarum Clinical course Complications

Hyperemesis gravidarum History taking questions P/E

Hyperemesis gravidarum Ix

Hyperemesis gravidarum Resuscitation

Hyperemesis gravidarum Treatment, prevention