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56 Cards in this Set
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- Back
Pelvic shape? |
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مريضة ما تعرف أو نست LMP ؟ شلون أكدر اعرف ال gestational age و بكم طريقة ؟ |
History:date of quiqing Exam: fundus height Investigation: US 18w in primipara 20 in multipara |
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How to expect CPD antenatally? |
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What does the labor depend on? |
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If the case is bleeding |
اذا جان ال case مالك هو bleeding ضروري حيل تعرف هالشغلات لان ممكن تنسأل عليها 👇👇 note : if bleeding occur before 24 week this may be miscarriageif bleeding after 24 week this antepartum hemorrhagecauses of antepartum hemorrhage:most common causes is placenta previa and abruption placentaother causes: 1- vasa placenta ( blood vessels of baby present in membrane and cross cervical canal so any rupture membrane lead to bleeding from baby)2- trauma3- infection4- malignancy risk factor of placenta previa: 1- old age 2- multigravida 3- previous scar( ex : ceaseron)4- any operation of uterus ( ex : myoctomy , curttage)5- smoking ( risk for previa less than abruption) 6- previous history of placenta previa risk for placenta abruption:1- old age 2-multi3- smoking4- hypertension 5- towin pregnancy, polyhydramions and Rupert membrane ( any thing lead to overdistention of uterus)6- any anticoagulant drug ( aspirin, heparin)7- cocaine , alcohol8- choriamionitis9-trauma 10-IUD11- previous history of placenta abruption complications of bleeding:for mother: anemia and shock ( tachycardia, palpitations, dyspnea, fatigue, hypotension)for baby: decrease fetal movement or no fetal movementد.ميس |
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If the case is bleeding |
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في حالات ال bleeding صروري نحددومكانوالسكن |
بالاضافـة الى انه بحالات ال bleeding ضروري نسأل عن منطقـة السكـن ليش ؟حتى نقدر ونخمّن فتـرة ال bleedingمثلًا اذا بيتها قريب عالمستشفـى ف نتوقع انه فترة النزف قليلـة وجت فورًا وهكـذا.. هاي النقطة ركزت عليها دكتورة تهانـي. |
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حتى نقيّم ال severity of bleeding |
حتى نقيّم ال severity of bleeding اهم شي من خلال الهستوري نسألها اذا كان اكو clot ف هاي تعكسلنا sever bleeding او من خلال الجنرال اكزام اذا كانت pale او من خلال ال investigation (Hb level) د.تهانـي |
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Us |
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Anemia |
Anemia • 1st trimester-----> less than 11• 2nd and 3rd trimesters---> less than 10.5•post partum------> less than 10د. فاطمة |
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Note |
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Who can do examination |
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شنو ممكن يصير بالطفل اذا كانت الام D.M |
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شوكت نكول postterm وشوكت نكول postdate |
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Pre term Post term Term Post date |
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what is 2 most common complications during pregnancy? |
1- UTI2-Anemia د. فاطمة |
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HT drug in pregnancy |
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اذا سوينا عملية وصار injury in bladder وخلينا catheter شوكت نشيلها؟ |
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ليش يصير عند الحاملLoss appetit, nausea, vomiting? |
Because there is delay gastric empty بسبب تأثير progesteron و relaxin. |
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بشنو نشك اذا ماكو morning sickness بداية الحمل |
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شوكت ننطي ٥ غرام folic acid? |
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اهمية ال Foley catheter |
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Post partum haemorrhage |
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Vernix caseosa |
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Types of dysamenorhea:عسر الطمث |
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Misoprostolo |
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Nitrofurantoin |
Nitrofurantoin is the first line drug ( antibiotic ) for UTI in pregnancy. |
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اذا كان ال chief complaint CC هوdecrease fetal movement |
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Note |
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Note |
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Causes of rupture membrane (RM): |
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Note |
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When we are depend on LMP to calculate GA? |
1/regular cycle 2/not lactating 3/not used contraception |
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sign of rupture uterus |
First sign of rupture uterus Fetal bradycardia(مهمـة)
Then : bleeding , change in abdominal contour , easily baby palpable per
abdomenد.فاطمة |
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Cause of breech presentation Baby |
Cause of breech presentation Baby *prematurity *Twin pregnancy *Congenital anomali Maternal *placenta previa *Uterine fibroid *uterine anomaliوممكن ما اكـو اي cause بس هم يصيـغ breech presentation (idiopathic)د.فاطمـة |
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Fundal hight بعد الولادة |
بعد الولاده -Fundal height normally we can see below the umbilicus about 2cm -But can see above the umbilicus in the case of(Postpartum hemorrhage) اكثر من دكتوره ذكرت هاي الحاله .. |
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Question: What are the post-operativecomplications of cesarean section?1 |
1- Thromboembolism: pulmonary embolism and DVTs. The main cause of maternal death. Can be prevented by early mobilization, hydration, and administration of prophylactic heparin. 2- Postpartum hemorrhage 3- Infections in the endometrium or abdominal wound site 4- Psychological trauma .د.شيماء |
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Question: what are the intraoperative complications of cesarean section? .
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1- Hemorrhage 2- Cesarean hysterectomy 3- Placenta previa 4- Injuries to nearby viscera like bladder and rectum.
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The most common infection in women is UTI ( urinary tract infection ) .د. ذُكاء . |
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hydatiform mole |
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Diameter |
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Physiological change in pregnancy |
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Source of anoniotc fluid and is function |
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Why the fetus have jaundice? |
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h.mole case |
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تكمله h.mole |
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Placentae abruption |
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Case miscarriage |
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Case ectopic pregnancy |
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Case labour pain |
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