Pregnancy and Intensive Care: Common reasons for admission include hypertensive disorders; haemorrhage; respiratory failure; sepsis; trauma
Trauma and Pregnancy: leading cause of non-obstetric maternal mortality -> also has a high chance of fetal loss; ATLS approach (primary and secondary survey) including safe transport to trauma centre with obstetric care.
Venous thromboembolism in pregnancy: 25% of maternal mortality; x 5 increase in risk (venous stasis, hypercoaguable, vascular injury from delivery)
Perimortem Caesarean section
Weigert (1877) and later Meyer (1907) recognized that the disposition of the ectopic orifice to lie caudal and medial to the orthoptic orifice was almost universal in cases of ureteral duplication. Weigert-Meyer Law.
A 23 year old woman presents with right sided pelvic pain and vaginal spotting. Her last period was 6 or 7 weeks ago and her urinary BHCG is positive. You perform a transvaginal ultrasound.
A pregnant patient has pneumonia. There are also concerns that she has a metabolic acidosis. Can you solve this metabolic muddle?
Stabler Sign - atraumatic abdominal wall ecchymosis in the inguinal-pubic area associated with ectopic pregnancy. Francis (Frank) Edward Stabler (1902–1967)
Francis (Frank) Edward Stabler (1902 – 1967) English surgeon, obstetrician and gynaecologist. Eponym: Stabler Sign - atraumatic abdominal wall ecchymosis
Léon Athanase Gosselin (1815–1887) was a French Surgeon associated with the Gosselin Fracture, a V-shaped distal tibia fracture extending to tibial plafond
One of the patients seriously injured in a multi-vehicle pile up is pregnant. What are the implications for trauma management?
Medmastery: Thyroid Disease Masterclass. Gestational thyrotoxicosis, TSH, and the factors that lead to abnormal thyroid function tests.