OSCE 8: Early pregnancy discussion. OSCEs done by recent fellows at a high level to provide an example of a good pass and additional advice on providing a framework to answer the scenarios.
A 30 year old woman presents with right iliac fossa pain. Quantitative BHCG is positive at 2500 IU. Her bladder is empty so you proceed to transvaginal ultrasound.
31 yr old female who is 5 days post-partum she was brought to the Emergency Department following a episode of collapse. Describe and interpret this ECG. LITFL Top 100 ECG
GENERAL APPROACH Illness requiring ICU admission Pregnancy + Baby Delivery – when or already done INTRODUCTION CUBICLE CTG presence of midwives INFUSIONS PET: MgSO4, phenytoin, hydralazine, GTN pre-term labour: tocolytics, steroids thromboembolism: heparin bleeding: blood products, fluid boluses, TXA cardiogenic shock: inotropes VENTILATOR mode level of oxygenation: high FiO2, PEEP (pulmonary oedema) bronchospastic ventilation: asthma […]
15% of the population are Rhesus negative; Rh D immunoglobulin is administered to non-sensitised Rh D negative women to prevent the development of Rh D antibodies and in so doing prevent Rh D induced haemolytic disease of the newborn.
A patient in early pregnancy presents with pelvic pain and heavy vaginal bleeding. She has been bleeding heavily over the last hour. She tells you she had an ultrasound 2 weeks ago, at 5 weeks gestation which showed an intrauterine pregnancy, but was too early to detect cardiac activity.
Tintinalli Obstetrics Gynaecology multiple choice questions MCQs for ACEM Fellowship
Pregnancy results in increased susceptibility to endotoxin, metabolic acidosis and cardiovascular collapse