Obstetrics mnemonics-Table 1 Flashcards Preview

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1

Post-partum examination simplified checklist

BUBBLES:
Breast
Uterus
Bowel
Bladder
Lochia
Episotomy
Surgical site (for Cesarean section)

2

Abdominal pain: causes during pregnancy

LARA CROFT:

Labour
Abruption of placenta
Rupture (eg. ectopic/ uterus)
Abortion
Cholestasis
Rectus sheath haematoma
Ovarian tumour
Fibroids
Torsion of uterus

3

what is the most common anemia in pregnant women with associated indices changes?

Iron

4

how do you treat iron def anemia inpregnancy

ferrous sulfate tablet

5

Preeclampsia: classic triad

PREeclampsia:

Proteinuria
Rising blood pressure
Edema

6

What is the most common anemia in pregnant women without major indices changes?

Physiologic or compensated anemia aka. dilutional

7

Prenatal care questions

ABCDE:

Amniotic fluid leakage?
Bleeding vaginally?
Contractions?
Dysuria?
Edema?
Fetal movement?

8

Asherman syndrome features

ASHERMAN:

Acquired Anomaly
Secondary to Surgery
Hysterosalpingography confirms diagnosis
Endometrial damage/ Eugonadotropic
Repeated uterine trauma
Missed Menses
Adhesions
Normal estrogen and progesterone

9

investigations ,PRENATAL DIAGNOSIS,timings

Uk-CAT
U............USG...............6-40WKS.
C...........CVS................9-12
A..........AMNIOCENTESIS..15-18
T............TRIPLE TEST.......16-18

10

CVS and amniocentesis: when performed

"Chorionic" has 9 letters and Chorionic villus sampling performed at 9 weeks gestation.
"AlphaFetoProtein" has 16 letters and it's measured at 16 weeks gestation.

11

Spontaneous abortion: definition

"Spontaneous abortion" has less than 20 letters [it's exactly 19 letters].
Spontaneous abortion is defined as delivery or loss of products of conception at less than 20 weeks gestation.

12

recommended folate during pregnancy

.8mg daily or 1mg if past neural tube defect

13

what are the types of NTD?

Spina bifida, encephalocele, anencephaly

14

Fetus: cardinal movements of fetus

Don't Forget I Enjoy Really Expensive Equipment":

Descent
Flexion
Interal rotation
Extension
Restitution
External rotation
Expulsion

15

Parity abbreviations (ie: G 3, P 2012)



"To Peace And Love":
T: of Term pregnancies
P: of Premature births
A: of Abortions (spontaneous or elective)
L: of Live births
· Describes the outcomes of the total number of pregnancies (Gravida).

16

Alpha-fetoprotein: causes for increased maternal serum AFP during pregnancy

"Increased Maternal Serum Alpha Feto Protein":

Intestinal obstruction
Multiple gestation/ Miscalculation of gestational age/ Myeloschisis
Spina bifida cystica
Anencephaly/ Abdominal wall defect
Fetal death
Placental abruption

17

IUGR: causes

IUGR:
Inherited: chromosomal and genetic disorders
Uterus: placental insufficency
General: maternal malnutrition, smoking
Rubella and other congenital infecton

18

FORCEPS/VACUUM DELIVERY

A - Anaesthesia/Assistance( anaesthetist, colleague,paediatrician) Think and prepare for shoulder dystocia
B- Bladder empty
C- Cervix fully dilated
D- determine position
E- Explain to the patient/ exit plan if it fails, ready for cesarean section
F - Fontanelle ( to check position )
G - Gentle traction
H- Handle elevated for forceps
Halt for vacuum ( no descent with 3 pulls, 3 times pop off )
I - Incision/Episiotomy
J- remove forceps when jaw visible

19

Indications of cesearian section

MICE CAME
M- Malpresentation
I- Induction failure
C- Cephalopelvic disproportion,contracted pelvis
E - Eclampsia
C- Cervical cancer
A- antepartum hemorrhge(Abruptio, placenta previa)
M- medical illness complicating pregnancy
E- Elderly primi

20

DYSTOCIA

CAUSES:Remeber 4 Ps.
Passenger (large baby)
Passage (Abnormal Pelvis)
Propulsion (uterine contraction)
Proprotion (disproportion Cephalo-pelvic)

21


Miscarriage: recurrent miscarriage causes

RIBCAGE:
Radiation
Immune reaction
Bugs (infection)
Cervical incompetence
Anatomical anomaly (uterine septum etc.)
Genetic (aneuploidy, balanced translocation etc.)
Endocrine

22

Cardiotocogram (CTG) interpretation Dr. C. BraVADO

Define Risk
Contractions (in 10 mins)
Baseline Rate (should be 110-160)
Variability (should be greater than 5)
Accelerations
Decelerations
Overall (normal or not)