L2: RVF & Uterine Inversion

Question 1

Def of Retroversion

Answer 1

Question 2

Def of Retroflexion

Answer 2

Question 3

Etiology of RVF

Answer 3

Question 4

Etiology of RVF

• Congenital

Answer 4

(20% of females)

• No symptoms & needs No treatment.

Question 5

Etiology of RVF

• Acquired

Answer 5

Question 6

Degrees of RVF

Answer 6

Question 7

Dx of RVF

Answer 7

Question 8

Symptoms of RVF

Answer 8

Question 9

Signs of RVF

Answer 9

• vaginal examination, you can determine the degree or detect the pathology

Question 10

Prevention of RVF

Answer 10

By proper management of puerperium.

Question 11

TTT of RVF

Answer 11

Question 12

Def of Uterine Inversion

Answer 12

• Uterine inversion occurs when the uterine fundus collapses into the endometrial cavit turning the uterus partially or completely inside out.

Question 13

Incidence of Uterine Inversion

Answer 13

Incidence ranges from 1 in 3500 to 20,000 deliveries.

Question 14

Classification of Uterine Inversion

Answer 14

Question 15

Classification of Uterine Inversion

• Acc to Extent of Inversion

Answer 15

Question 16

Classification of Uterine Inversion

• Acc to Time of Occurence

Answer 16

Question 17

RF for Uterine Inversion

Answer 17

Question 18

CP of Uterine Inversion

Answer 18

Question 19

DDx of Uterine Inversion

Answer 19

Prolapsed fibroid & procidentia:

• Clinical examination and ultrasound can differentiate the conditions.

Question 20

Management of Uterine Inversion

Answer 20

Question 21

Management of Uterine Inversion

• Time of Intervention

Answer 21

Question 22

Management of Uterine Inversion

• Aspects

Answer 22

Question 23

Management of Uterine Inversion

• Discontinue uterotonic drugs

Answer 23

since uterine relaxation is needed to replace uterine fundus.

Question 24

Management of Uterine Inversion

• Call for immediate assistance

Answer 24

including anesthesiology staff, operative room ready for laparotomy.

Question 25

Management of **Uterine Inversion** - adequate intravenous access

Answer 25

and aggressive fluid/blood product resuscitation.

Question 26

Management of **Uterine Inversion** - Do not remove the placenta

Answer 26

....

Question 27

Management of **Uterine Inversion** - Manually replace the inverted uterus

Answer 27

Immediately attempt to manually replace the inverted uterus to its normal position.

Question 28

Management of **Uterine Inversion** - after initial unsuccessful attempt

Answer 28

Question 29

Management of **Uterine Inversion** - Surgery

Answer 29

Question 30

TTT of **Chronic Uterine Inversion**

Answer 30

Question 31

TTT of **Chronic Uterine Inversion** - Non-Surgical

Answer 31

Napier repositor for frail women contraindicated for surgery

Question 32

TTT of **Chronic Uterine Inversion** - Surgical

Answer 32

Question 33

TTT of **Uterine Inversion** - Goals of Mangement

Answer 33