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23 Cards in this Set

  • Front
  • Back

AFP

Raised - multiple pregnancy, exomphalos, threatened abortion


Low - Down's, neural tube defect

Placental abruption

Always think about it in third trimester


Typically painful PV bleeding


Can be concealed (no bleeding)

Abalallala

B


Malala


Lalala

Isoimmunisation/Rhesus disease

Severe cases causes:


Haemolytic anaemia


Jaundice and hepatosplenomegaly


Kernicterus


Hydrops fetalis

PP vs PA

Back (Definition)

Post menopausal atrophic vaginitis

-Causes soreness rather than itch


-thin, dry red mucosa

Refractory candida think of

DM!

Macroprolactinoma

2"amenorrhoea


Galactorrhoea


Lost of peripheral vision on both sides (pressure on optic nerve)

Instrumental delivery

Forceps-very quick (especially when baby in distress)


ventouse-gentler on baby; (used when baby is not in distressed)

Ectopic pregnancy

Pain first -then bleed


6-8 weeks


Shoulder tip pain and cervical excitation

Ectopic pregnancy

Pain first -then bleed


6-8 weeks


Shoulder tip pain and cervical excitation

Ovarian torsion

Sudden, unilateral


May coincide with exercise


Tender ad exam mass seen

Infertility

PID -complication is infertility


Endometriosis has subfertility

Infertility

PID -complication is infertility


Endometriosis has subfertility


PCoS subfertility and infertility

PCOS

Hyperinsulinaemia


Increase LH:FSH ratio


Prolactin and testosterone may be normal or mildly elevated

Causes of high prolactin

Pregnancy


Drugs (antipsychotics, mdma,


Metocloperamide)tx:/Bromocriptine, Cabergoline


Hypothyroidism

10-13 weeks

Combined test


-USS fetal nuchal translucency >3.5mm


-Bloods: PAPP-A & BHCG

10-13 weeks

Combined test


-USS fetal nuchal translucency >3.5mm


-Bloods: PAPP-A & BHCG

15-20 weeks

Quadruple test:


1. Unconjugated oestradiol


2. total B-HCG


3. AFP


4. inhibit A

Borderline or mild dyskaryosis

Original sample tested for HPV

Borderline or mild dyskaryosis

Original sample tested for HPV

Dyskaryosis

Moderate - refer for colposcopy


Severe/suspected invasive cancer- urgent 2week colposcopy

Uttering fibroids

-benign smooth muscle tumours of uterus (more in black women)


-rare before puberty, develop in response to oestrogen


Features:


-asymptomatic


-menorrhagia, bloating, cramping during menses, urinary Syx, subfertility


Ddx: Transvaginal USS


Tx: 1st line levonorgestrel releasing IUD


Others: tranexamic acid, COCP, GnRH (reduce size short term)sometimes, surgery (myomectomy, ablation)