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    Thread: Obstetrics Mnemonics - Biggest collection

    1. #1
      vitrag24's Avatar
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      Lightbulb Obstetrics Mnemonics - Biggest collection

      Download:

      [hide]PDF[/hide]

      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


      Early cord clamping: indications
      RAPID CS:
      Rh incompatibility
      Asphyxia
      Premature delivery
      Infections
      Diabetic mother
      CS (caesarian section) previously, so the funda is RAPID CS


      IUD: side effects

      PAINS:
      Period that is late
      Abdominal cramps
      Increase in body temperature
      Noticeable vaginal discharge
      Spotting




      Oral contraceptives: side effects

      CONTRACEPTIVES:

      Cholestatic jaundice
      Oedema (corneal)
      Nasal congestion
      Thyroid dysfunction
      Raised BP
      Acne/ Alopecia/ Anaemia
      Cerebrovascular disease
      Elevated blood sugar
      Porphyria/ Pigmentation/ Pancreatitis
      Thromboembolism
      Intracranial hypertension
      Vomiting (progesterone only)
      Erythema nodosum/ Extrapyramidal effects
      Sensitivity to light

      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

      Forceps: indications for delivery

      FORCEPS:

      Foetus alive
      Os dilated
      Ruptured membrane
      Cervix taken up
      Engagement of head
      Presentation suitable
      Sagittal suture in AP diameter of inlet


      Delivery: instrumental delivery prerequisites

      AABBCCDDEE:

      Analgesia
      Antisepsis
      Bowel empty
      Bladder empty
      Cephalic presentation
      Consent
      Dilated cervix
      Disproportion (no CPD)
      Engaged
      Episiotomy


      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

      APGAR score components

      SHIRT:
      Skin color: blue or pink
      Heart rate: below 100 or over 100
      Irritability (response to stimulation): none, grimace or cry
      Respirations: irregular or good
      Tone (muscle): some flexion or active


      Postpartum collapse: causes

      HEPARINS:
      Hemorrhage
      Eclampsia
      Pulmonary embolism
      Amniotic fluid embolism
      Regional anaethetic complications
      Infarction (MI)
      Neurogenic shock
      Septic shock



      Multiple pregnancy complications

      HI, PAPA:
      Hydramnios (Poly)
      IUGR
      Preterm labour
      Antepartum haemorrhage
      Pre-eclampsia
      Abortion


      Omental caking: likeliest cause

      Omental CAking = Ovarian CA
      ---"Omental caking" is term for ascities, plus a fixed upper abdominal and pelvic mass. Almost always signifies ovarian cancer.


      Polycystic Ovarian Syndrome (PCOS): first line treatment
      Treat PCOS with OCP's (oral contraceptive pills).


      DYSTOCIA

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


      Labour: factors which determine rate and outcome of labour

      3 P's:
      Power: stength of uterine contractions
      Passage: size of the pelvic inlet and outlet
      Passenger: the fetus--is it big, small, have anomalies, alive or dead



      Labour: preterm labor causes

      DISEASE:
      Dehydration
      Infection
      Sex
      Exercise (strenuous)
      Activities
      Stress
      Environmental factor (job, etc)


      Antepartum hemorrhage (APH): major differential

      APH:
      Abruptio placentae
      Placenta previa
      Hemorrhage from the GU tract


      Miscarriage: recurrent miscarriage causes

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



      Shoulder dystocia: management

      HELPER:
      Call for Help
      Episiotomy
      Legs up [McRoberts position]
      Pressure subrapubically [not on fundus]
      Enter vagina for shoulder rotation
      Reach for posterior shoulder and deliver posterior shoulder/ Return head into vagina [Zavanelli maneuver] for C-section/ Rupture clavicle or pubic symphisis



      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)



      Diagonistic tests

      CAT
      C=CHORIONI VILOOUS SAMPLING=10-12wks. OF GEST. DONE
      A=AMINOCENTESIS=14-16wks.OF gest.
      T=Triple test(MSAFP)= -18wks.OF GA.


      PG E1 OR E2
      CERVIPRIME HAS TWO Es SO IT MUST BE PROSTAGLANDIN E2 MISOPROSTOL - PG E1.



      Smallest Fetal Head Diameter

      M T P
      Bi-Mastoid-7.5
      Bi-Temporal-8.00
      Bi-Parietal-8.5


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      If U Think Ur Life Getting Necrosed,Ur Dreames Inflammed,Ur Thoughts Thrombosed,Then Try This Out.Spread D Neoplasia Of Love Around U.
      V.H.SHAH

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      i am sorry the file doesnt open]

    3. #3
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      CMa
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      Quote Originally Posted by afshan View Post
      i am sorry the file doesnt open]
      Refresh your page and then try again!

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      Quote Originally Posted by afshan View Post
      i am sorry the file doesnt open]
      right-click on lin, and click on save as.

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      Still its not working...

    6. #6
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      Quote Originally Posted by ormakalmarikkumo111 View Post
      Still its not working...
      There is no problem from here.
      Either you're not clicking on link from this page or you have disabled your adobe plugin in IE or you have slow internet connection which is taking more time to load PDF file in IE and before it loads, you close it.

      Check my screenshot.


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      If U Think Ur Life Getting Necrosed,Ur Dreames Inflammed,Ur Thoughts Thrombosed,Then Try This Out.Spread D Neoplasia Of Love Around U.
      V.H.SHAH

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      good job brother......nice mnemonics...easy to remember...tanx alot
      keep sharing and medicalgeek alive

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