OBSTETRICS MNEMONICS
OBSTETRICS MNEMONICS:
Preeclampsia: classic triad
PREeclampsia:
Proteinuria
Rising blood pressure
Edema
Female pelvis: shapes
GAP:
-In order from most to least common:
Gynecoid
Android /Anthropoid
Platypelloid
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
RLQ pain: brief female differential
AEIOU:
Appendicitis/ Abscess
Ectopic pregnancy/ Endometriosis
Inflammatory disease (pelvic)/ IBD
Ovarian cyst (rupture, torsion)
Uteric colic/ Urinary stones
Oral contraceptive complications: warning signs
ACHES:
Abdominal pain
Chest pain
Headache (severe)
Eye (blurred vision)
Sharp leg pain
Post-partum haemmorrage (PPH): risk factors
PARTUM:
Polyhydroamnios/ Prolonged labour/ Previous cesarian
APH/ ANTH
Recent bleeding history
Twins
Uterine fibroids
Multiparity
Post-partum haemorrhage (PPH): causes
4 'T's:
Tissue (retained placenta)
Tone (uterine atony)
Trauma (traumatic delivery, episiotomy)
Thrombin (coagulation disorders, DIC)
Post-partum examination simplified checklist
BUBBLES:
Breast
Uterus
Bowel
Bladder
Lochia
Episotomy
Surgical site (for Cesarean section)
Ovarian cancer: risk factors
"Blue FILM":
Breast cancer
Family history
Infertility
Low parity
Mumps
Prenatal care questions
ABCDE:
Amniotic fluid leakage?
Bleeding vaginally?
Contractions?
Dysuria?
Edema?
Fetal movement?
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
investigations ,PRENATAL DIAGNOSIS,timings
Uk-CAT
U............USG...............6-40WKS.
C...........CVS................9-12
A..........AMNIOCENTESIS..15-18
T............TRIPLE TEST.......16-18
Gestation period, oocytes, vaginal pH, menstrual cycle: normal numbers
4 is the normal pH of the vagina.
40 weeks is the normal gestation period.
400 oocytes released between menarche and menopause.
400,000 oocytes present at puberty.
28 days in a normal menstrual cycle.
280 days (from last normal menstrual period) in a normal gestation period.
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.
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.
Pelvic Inflammatory Disease (PID): causes, effects
"PID CAN be EPIC":
· Causes:
Chlamydia trachomatis
Actinomycetes
Neisseria gonorrhoeae
· Effects:
Ectopic
Pregnancy
Infertility
Chronic pain
Pelvic Inflammatory Disease (PID): complications
I FACE PID:
Infertility
Fitz-Hugh-Curitis syndrome
Abscesses
Chronic pelvic pain
Ectopic pregnancy
Peritonitis
Intestinal obstruction
Disseminated: sepsis, endocarditis, arthritis, meninigitis
B-agonist tocolytic (C/I or warning)
ABCDE:
Angina (Heart disease)
BP high
Chorioamnionitis
Diabetes
Excessive bleeding
Secondary amenorrhea: causes
SOAP:
Stress
OCP
Anorexia
Pregnancy
Fetus: cardinal movements of fetus
"Don't Forget I Enjoy Really Expensive Equipment":
Descent
Flexion
Interal rotation
Extension
Restitution
External rotation
Expulsion
Sexual response cycle
EXPLORE:
EXcitement
PLateau
Orgasmic
REsolution
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).
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
Alpha-fetoprotein: some major causes for increased maternal serum AFP during pregnancy
TOLD:
Testicular tumours
Obituary (fetal death)
Liver: hepatomas
Defects (neural tube defects)
Dysfunctional uterine bleeding (DUB): 3 major causes
DUB:
Don't ovulate (anovulation: 90% of cases)
Unusual corpus leuteum activity (prolonged or insufficient)
Birth control pills (since increases progesterone-estrogen ratio)
IUGR: causes
IUGR:
Inherited: chromosomal and genetic disorders
Uterus: placental insufficency
General: maternal malnutrition, smoking
Rubella and other congenital infecton
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