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Category Obstetrics Gynaecology
CCC Critical Care compendium 340

Influenza and Pregnancy

Influenza and Pregnancy: known high incidence of morbidity and mortality in mother and foetus in H1N1 infection and severe community acquired pneumonia; multidisciplinary team approach: O&G, NICU, anaesthetics, ICU; planned delivery of foetus (although the teams may have conflicting interests)
CCC Critical Care compendium 340

Pelvic Inflammatory Disease (PID)

Pelvic Inflammatory Disease (PID) includes: endometritis, chorioamnionitis, intra-amniotic infection syndrome, salpingitis, tubo-ovarian abscess, pelvic cellulitis, pelvic peritonitis
CCC Critical Care compendium 340

Pneumonia in Pregnancy

Pneumonia in Pregnancy: 2 patients; treatment dependent on stage of pregnancy (first trimester: avoidance of teratogenicity, third trimester: prevention of pre-term labour) signs of severe sepsis may be masked by normal pregnancy changes
CCC Critical Care compendium 340

Pre-eclampsia and Eclampsia

Pre-eclampsia and Eclampsia: multisystem disorder of pregnancy characterised by hypertension and organ system derangement; defective trophoblast invasion of the spiral arteries and abnormal trophoblast differentiation.
CCC Critical Care compendium 340

Trauma and Pregnancy

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.
CCC Critical Care compendium 340

VTE and Pregnancy

Venous thromboembolism in pregnancy: 25% of maternal mortality; x 5 increase in risk (venous stasis, hypercoaguable, vascular injury from delivery)
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Weigert-Meyer rule

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.
Ultrasound cases top 100 340

Ultrasound Case 017

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.
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Pregnant and Acidotic

A pregnant patient has pneumonia. There are also concerns that she has a metabolic acidosis. Can you solve this metabolic muddle?