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DRCOG MCQs for Circuit C Questions
Published in Una F. Coales, DRCOG: Practice MCQs and OSCEs: How to Pass First Time three Complete MCQ Practice Exams (180 MCQs) Three Complete OSCE Practice Papers (60 Questions) Detailed Answers and Tips, 2020
Features of pre-eclampsia include:Raised BP that develops after 16 weeks' gestation.Blurred vision.Epigastric pain.Hyper-reflexia.Spontaneous bleeding.
Disorders of the digestive tract
Published in Judy Bothamley, Maureen Boyle, Medical Conditions Affecting Pregnancy and Childbirth, 2020
Signs and symptoms include epigastric pain radiating to the back, constant abdominal pain and nausea or vomiting. Most cases resolve spontaneously if there is good supportive treatment. This includes bowel rest (perhaps parenteral nutrition), analgesics and intravenous fluids. As pancreatitis may become a life-threatening condition, care is usually undertaken in a high dependency or intensive care unit.
Practice paper
Published in Andrew Schofield, Paul Schofield, The Complete SAQ Study Guide, 2019
Andrew Schofield, Paul Schofield
Lee, aged 34, presents to the emergency department with sudden onset severe epigastric pain and vomiting. List four causes of acute epigastric pain. (2)Name a radiological investigation you would use in this case in the emergency department. (1)Lee’s amylase comes back as 1340. List three causes of pancreatitis. (3)Lee’s Glasgow score is 3. What implication does this have on his management? (1)List two criteria to calculate a Glasgow score. (1)How would you treat pancreatitis initially? (2)Why would a USS abdomen be useful in this case? (1)On the post-take ward round the next morning, your consultant notices some bruising on the patient’s flank. What is the eponym for this sign and what does it represent? (2)Name two complications of acute pancreatitis. (2)
Endophthalmitis with retained intraocular foreign body after catgut embedding at periocular acupoints
Published in Clinical and Experimental Optometry, 2022
Xuebin Zhou, Han Chen, Jinling Fu, Lingxian Xu, Chen Chen, Guanfang Su, Chenguang Wang
Acupoint catgut embedding therapy is a stimulation method that was developed from traditional acupuncture therapy. It is based on the key principle of acupuncture in traditional Chinese medicine. Especially, it is based on the belief that organ disorders are reflected at specific points on or near the surface of the skin (acupoints). It is also believed that the stimulation of acupoints can modify the physiology of the body. Acupoint catgut embedding therapy employs sutures made of catgut, collagen, or polymer to apply persistent stimulation during suture absorption.1 This method has been applied extensively in patients with epigastric pain, obesity, low back pain, and leg pain, among others.2 There are reports of the application of catgut embedding at periocular acupoints for the treatment of myopia.3,4 Periocular acupoint catgut embedding is performed by placing 1–2 cm of catgut at the tip of a lumbar puncture needle tube, which is then connected to the needle core after disinfection. The acupuncture penetrates the periocular acupoints to a certain depth, which is usually located in the adipose body of the orbit. The needle core is pushed while the needle tube is withdrawn, and the catgut is embedded in the periocular acupoint.1 This report describes a unique case of a patient with endophthalmitis with a retained intraocular foreign body (IOFB) after an erroneous periocular acupoint catgut embedding.
Ectopic leiomyoma as a late complication of laparoscopic hysterectomy with power morcellation: a case report and review of the literature
Published in Acta Chirurgica Belgica, 2020
Karel Dewulf, Valerie Weyns, Bart Lelie, Hussain Qasim, Joke Meersschaert, Bart Devos
A 49-year-old woman presented at the outpatient clinic with episodes of epigastric pain. She had a blank medical history and a surgical history of an appendectomy, tonsillectomy and a laparoscopic subtotal hysterectomy for benign disease. The epigastric pain was present since three days with associated nausea and normal bowel habits. The pain was not related to her menstrual cycle. Clinical examination showed epigastric tenderness without rebound tenderness or palpable masses. Blood tests, including inflammatory markers and liver function tests, were normal. Abdominal ultrasound showed cholecystolithiasis and a mass of 45 mm anterior to the stomach, tender on palpation. A CT scan of the abdomen revealed a nodular, contrast-enhancing mass with sharp margins in the greater omentum of 4 × 5 cm (Figure 1(A,B)). Inside the mass, a focus of contrast hypocaptation resided (Figure 1(B)). Moreover, a contrast-enhancing nodule of 11 mm was observed at the right side of the cervix uteri and a cystic mass of 35 mm was seen in the left ovary.
Concomitant hypertriglyceridemia-induced pancreatitis in pregnant monozygotic twin siblings
Published in Gynecological Endocrinology, 2020
Yahya Ayhan Acar, Gizem Gunay, Sedat Bilge, Onur Tezel
According to the revised Atlanta classification [6], acute pancreatitis can be diagnosed if at least two of the following three criteria are fulfilled: abdominal pain (acute onset of persistent and severe epigastric pain, often radiating to the back), serum lipase (or amylase) activity at least three times the upper limit of normal, and characteristic findings of acute pancreatitis on contrast-enhanced computed tomography (CT), or (less often) magnetic resonance imaging or trans-abdominal ultrasonography. Both of our cases showed slightly higher serum lipase activity, additional abdominal pain, and ultrasound findings supporting the diagnosis of pancreatitis. Due to pregnancy, abdominal CTs could not be performed. Therefore, epigastric pain should be examined in a detailed manner, and clinical suspicion seems particularly valuable in cases of pregnant women.