Obgyn Mnemonics
Obgyn Mnemonics
Obgyn Mnemonics
Acquired Anomaly
MNEMONICS Secondary to Surgery
Hysterosalpingography confirms diagnosis
Endometrial damage/ Eugonadotropic
Post-partum examination simplified checklist
Repeated uterine trauma
Missed Menses
BUBBLES:
Adhesions
Breast
Normal estrogen and progesterone
Uterus
Bowel
Bladder
Lochia
Episotomy
Surgical site (for Cesarean section) CVS and amniocentesis: when performed
RIBCAGE:
Radiation
Immune reaction Shoulder dystocia: management
Bugs (infection)
Cervical incompetence HELPER:
Anatomical anomaly (uterine septum etc.) Call for Help
Genetic (aneuploidy, balanced translocation etc.) Episiotomy
Endocrine Legs up [McRoberts position]
Pressure subrapubically [not on fundus]
Enter vagina for shoulder rotation
Reach for posterior shoulder and deliver posterior shoulder/ Return head
Forceps: indications for use into vagina [Zavanelli maneuver] for C-section/ Rupture clavicle or pubic
symphisis
FORCEPS:
Fully dilated cervix
0 ["Zero"] CPD
Ruptured membranes Oral contraceptive complications: warning signs
Cephalic or at least deliverable presentation/ Contracting uterus
Episiotomy done/ Epidural done ACHES:
P!ss and S#!t (bladder and bowel empty) Abdominal pain
Chest pain
Headache (severe)
Eye (blurred vision)
Oral contraceptives: side effects Sharp leg pain
CONTRACEPTIVES:
Cholestatic jaundice
Oedema (corneal) Alpha-fetoprotein: causes for increased maternal serum AFP during
Nasal congestion pregnancy
Thyroid dysfunction
Raised BP "Increased Maternal Serum Alpha Feto Protein":
Acne/ Alopecia/ Anaemia Intestinal obstruction
Cerebrovascular disease Multiple gestation/ Miscalculation of gestational age/ Myeloschisis
Elevated blood sugar Spina bifida cystica
Porphyria/ Pigmentation/ Pancreatitis Anencephaly/ Abdominal wall defect
Thromboembolism Fetal death
Intracranial hypertension Placental abruption
Vomiting (progesterone only)
Erythema nodosum/ Extrapyramidal effects
Sensitivity to light Early cord clamping: indications
RAPID CS:
Post-partum haemorrhage (PPH): causes Rh incompatibility
Asphyxia
4 'T's: Premature delivery
Tissue (retained placenta) Infections
Tone (uterine atony) Diabetic mother
Trauma (traumatic delivery, episiotomy) CS (caesarian section) previously, so the funda is RAPID CS
Thrombin (coagulation disorders, DIC)
I FACE PID:
Infertility
Fitz-Hugh-Curitis syndrome
Abscesses
Chronic pelvic pain
Ectopic pregnancy
Peritonitis
Intestinal obstruction
Postpartum collapse: causes Disseminated: sepsis, endocarditis, arthritis, meninigitis
HEPARINS:
Hemorrhage
Eclampsia
Pulmonary embolism
Amniotic fluid embolism
Regional anaethetic complications APGAR score components
Infarction (MI)
Neurogenic shock SHIRT:
Septic shock Skin color: blue or pink
Heart rate: below 100 or over 100
Irritability (response to stimulation): none, grimace or cry
Prenatal care questions Respirations: irregular or good
Tone (muscle): some flexion or active
ABCDE:
Amniotic fluid leakage?
Bleeding vaginally? Fetus: cardinal movements of fetus
Contractions?
Dysuria? "Don't Forget I Enjoy Really Expensive Equipment":
Edema? Descent
Fetal movement? Flexion
Interal rotation
Extension
Abdominal pain: causes during pregnancy Restitution
External rotation
LARA CROFT: Expulsion
Labour
Abruption of placenta
Rupture (eg. ectopic/ uterus) IUGR: causes
Abortion
Cholestasis IUGR:
Rectus sheath haematoma Inherited: chromosomal and genetic disorders
Ovarian tumour Uterus: placental insufficency
Fibroids General: maternal malnutrition, smoking
Torsion of uterus Rubella and other congenital infecton
DUB:
Don't ovulate (anovulation: 90% of cases)
Polycystic Ovarian Syndrome (PCOS): first line treatment
Unusual corpus leuteum activity (prolonged or insufficient)
Birth control pills (since increases progesterone-estrogen ratio)
Treat PCOS with OCP's (oral contraceptive pills).
APH:
Abruptio placentae
Placenta previa
Hemorrhage from the GU tract
3 P's:
Power: stength of uterine contractions
Passage: size of the pelvic inlet and outlet
Passenger: the fetus--is it big, small, have anomalies, alive or dead