Obs and gynae: revision session Flashcards Preview

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Flashcards in Obs and gynae: revision session Deck (119)
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1

APH definition

Bleeding from genital tract from 24 weeks to birth of baby

2

Minor APH

<50mls and stopped

3

Major APH

50-100mls

4

Massive APH

100mls + signs of shock

5

Causes of APH

Cervical ectropian
Vaginal infection
Bleeding from placental edge
Placenta praevia
Abruption

6

Placenta praevia

When placenta is within 2.5cm of cervix

7

Management of APH

ABCDE
IV access
Bloods, G and S
IV fluids
Blood transfusion
Delivery of baby

8

32 weeks, Post coital bleed

Cervical ectropian
Infection

9

6 weeks, PV bleeding, saw something jelly like, now bleeding stopped

Miscarriage

10

28 weeks, large volumes, woody hard uterus, drug missuse

Abruption

11

Painless PV bleeding, previous children

Placenta praevia

12

Menorrhagia

Regular, heavy menstrual bleeding. Excessive amount which interferes with quality of life.

13

Ix of menorrhagia

Detailed history
Bimanual examination
Speculum
Blood test
TV USS

14

Bulky uterus

Adenomyosis
Fibroids

15

Menorrhagia

Fibroids
Endometriosis
Polyps
Endometrial hyperplasia

16

Which maternal non gynae diseases can cause menorrhagia

Hypothryoidism
Coagulation problems
Diabetes
Liver/ kidney disease
Anticoagulant therapy
Copper IUD

17

Red flag symptoms for menorrhagia

Postcoital bleeding
IMB
Dyspareunia
Dysmenorrhoea

18

PCB

Cervical cancer

19

IMB

Cervical cancer or endometrial cancer

20

Dyspareunia

Cervical cancer

21

Irregular periods

PCOS

22

Pelvic pain and pressure symptosm

Prolapse or cancer

23

Vaginal discharge

PID

24

Menorrhagia first line

Levonorgesterel IUS- Mirena coil

25

Menorrhagia second line

Tranexamic acid
NSAIDS
COCP

26

Mirena benefits

Progesterone very local long term, mainly causes amenorrhoea

27

Why is tranexamic acid bad

VTE risk (avoid if fat and VTE risk already)

28

COCP cant be given to

Anyone with clot risks (high BMI, FHx)

29

Menorrhagia surgeries

Endometrial ablation
Uterine artery embolisation
Hysterectomy
Myomectomy

30

21 year old student, 3 months menorrhagia

Infection?
New contraception?
PCOS