Category Obstetrics Gynaecology
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.
Metabolic-Muddle-LITFL-Clinical-340 256

Pregnant and Acidotic

A pregnant patient has pneumonia. There are also concerns that she has a metabolic acidosis. Can you solve this metabolic muddle?
Trauma Tribulation 340 256

Trauma and Pregnancy

One of the patients seriously injured in a multi-vehicle pile up is pregnant. What are the implications for trauma management?