A 26 year old woman describes sudden severe left iliac fossa pain late in the evening prior to presentation. On the morning of presentation she complained of bilateral shoulder tip pain and had a presyncopal episode on standing up. She is not pregnant.
A 32 year-old woman is referred to the ICU post caesarean section. In the last 2 hours she has developed vaginal bleeding and oozing from her epidural site.
Biography Born 19 November 1842 in Trautenau, Böhmen, Austro-Hungarian Empire Died 3 October 1916 in Heidelberg, Germany Medical Eponyms Czerny operation (aka Cholecystopexy) Czerny pillar suture used in the operative treatment of congenital inguinal hernia in children Key Medical Attributions…
Description Paget’s disease of the nipple; disorder of the nipple-areola complex (NAC). Characterised chiefly by eczema like changes, it is a condition associated with underlying cancer of the breast. Clinical signs include: Hardening of the NAC Crusting A lumpy or…
Acute Fatty Liver of Pregnancy: hepatic dysfunction + microvesicular infiltration of hepatocytes; thought to be a variant of PET; fetal and maternal mortality = 20%
Amniotic Fluid Embolism (AFE): diagnosis of exclusion; amniotic in maternal circulation not always pathognomonic; 1:25,000 live births
Burns and Pregnancy: at risk of premature labour due to high levels of circulating prostaglandins; fluid replacement must cater for increased circulating volume
Cardiogenic Shock and Late Pregnancy: Two patients; High mortality; Planned delivery; Diagnose and treat cause
Cocaine Toxicity and Obstetrics:
Eclampsia: life threatening situation for the mother and baby. 1:2000 pregnancies; most occur in 3rd trimester; 1/3 post-partum; usually with in 24hrs of delivery; vasogenic cerebral oedema from hypertensive encephalopathy
Ectopic pregnancy = fertilized ovum which implants outside the lining of the uterus
Hemorrhage and Pregnancy: gravid uterus receives 15% of Q -> bleeding can be rapid; principle causes; abruption, placenta praevia, PPH; baby more at risk than mum