Investigations Flashcards
1
Q
What are the appropriate investigations for heavy menstrual bleeding?
A
- FBC
- Iron studies
- Cervical smear
- Endocervical swab
- Pelvic ultrasound
- Endometrial biopsy
- Hysteroscopy
- Coagulopathy screening
- TFTs
2
Q
What investigations should be used when suspecting endometrial cancer?
A
- Transvaginal ultrasound
- Abdominal ultrasound (to exclude mets)
- FBC
- Coags
3
Q
What investigations should you do when suspecting endometriosis?
A
Gold standard is laparoscopy
4
Q
What are the investigations for PCOS?
A
- Pelvic ultrasound
- Oestradiol, FHS, LH
- Testosterone
- Glucose screening
5
Q
What are the investigations for PID?
A
- FBC
- Urinalysis
- Vaginal discharge swabs - microscopy
- Ultrasound
- Laparoscopy
6
Q
What investigations should you do when suspecting a miscarriage?
A
- FBC
- Rh status
- Serum bHCG
- CRP if septic
- urine bHCG
- transvaginal ultrasound
7
Q
What investigations should you do in someone with an ectopic pregnancy?
A
- FBC, Rh status, serum bHCG
- Urine bHCG
- Transvaginal ultrasound
8
Q
What investigations should you do for placenta praevia?
A
- bloods: group & hold, crossmatch, FBC, UEC, Coags, LFTs
- Abdo USS
- confirm with transvaginal USS
- CTG
9
Q
What investigations should you do for placental abruption?
A
- bloods: BGH, crossmatch, FBC, UEC, Coags, LFTs
- AVOID spec until USS performed
- abdo USS
- CTG
