By S. Arulkumaran
Delivering a realistic, obtainable consultant to emergency occasions encountered in obstetrics and gynaecology, the second one variation of this crucial instruction manual is designed round the signs and symptoms a sufferer provides with.
summary: delivering a pragmatic, obtainable consultant to emergency events encountered in obstetrics and gynaecology, the second one variation of this crucial guide is designed round the signs and symptoms a sufferer offers with
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Additional info for Emergencies in Obstetrics and Gynaecology
If US is equivocal, a limited IVU may be necessary. The risk of radiation must be balanced against the risks of renal damage, preterm labour, or inappropriate treatment. Conservative management with IV fluids, antibiotics and analgesia will allow passage of the calculus in most cases. Surgical intervention may be required if conservative measures fail. Abdominal pain in pregnancy Other causes • Sickle cell crises: these occur in about a third of women with sickle cell disease during pregnancy. Often no exacerbating factors other than pregnancy may be present.
The diagnosis is established by the findings of hypertension and proteinuria Infections: Meningitis Encephalitis Cerebral abscess History of non-specific prodromal illness is often present, with headaches typically evolving over hours or days. ) Diagnosis Comments Generalized sepsis Frequently presents with headache and vague symptoms. Often accompanied by pyrexia. Efforts should be made to identify focus of infection before starting antibiotic treatment Cerebrovascular accidents: Venous thrombosis Infarction Haemorrhage Headache is severe and sudden in subarachnoid haemorrhage, and photophobia and altered consciousness is present in venous thrombosis.
Labour itself is a common cause and it is usually intermittent in nature with associated uterine contractions. The definition of labour is regular uterine contractions with cervical effacement or dilatation, and descent of the presenting part. However, cervical change may be preceded by a long latent phase of labour, and this may make the diagnosis more difficult. The fact that abdominal pain is common and often physiological in pregnancy can mean that pathological causes may be overlooked. Remember that pathological conditions can coexist with and even precipitate labour.