seqs solution

7/26/2019 Seqs Solution

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How to attempt SEQs

Dr.Shahnaz Kouser Assistant Professor Gynae Unit-1,

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Question

A &' years o() PG has presente) at ' wee*s of

+estation with mi() P# spottin+. A transa+ina(

u(trasoun) on/rms ri+ht si)e) tu0a( pre+nany.

ut(ine the riteria for e2petant mana+ement3

Answer E2petant mana+ement is an option for(inia((y sta0(e women with minima( symptoms. 4o

me)ia(#sur+ia( 5#!. 6ust fo((ow up 7 monitorin+.

"riteria8 9 Asymptomati women :)etai(e) history 7

e2amination;

9 5S8 (ess than 1? m 9

Serum @-h"G > 1 &< iu#%.

Question

A &< years o() marrie) woman presents to the PD with

H# 0urst on)om )urin+ se2ua( interourse :or if ""


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has 0een for+otten;. Her hus0an) is a uniersity stu)ent

7 they an not aBor) pre+nany.

1. Chat wi(( you a)ise her3 &. Chat are the treatment

options aai(a0(e to her3

Answer

1. She wi(( 0e a)ise) to use emer+eny ontraeption

:E";. ption wi(( 0e )ei)e) after )etai(e) history 7

e2amination.

&. ptions8 Hormona( E"%eonor+este( :sin+(e )ose 1 ? m, serum

@-h"G>?


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&. nesti+ations:Detai(e) history 7 %oa( e2amination;

5S for E5 7 uterine#a)ne2a( patho(o+y, D7".

!ana+ement )epen)s upon ause, topia( estro+en for

atrophi a+initis, po(ypetomy for po(yp, 5AH 7 S foren)ometria( "A.

Question

A 1' years o() +ir( presents with y(ia( a0)omina( pain

an) primary amenorrhoea.

1. Chat is the most (i*e(y )ia+nosis3

&. How you wi(( on/rm the )ia+nosis3

Answer

1. mperforate hymen#a+ina( septum

&. Dia+nosis )etai(e) history, seon)ary se2 haraters

an) (oa( e2amination for 0(uish 0u(+in+ mem0rane,

(ower a0)omina( mass. nesti+ation, pe(i USG forhematoo(pos#hematometra.

Question

A & years o() +ir( presents in +ynae PD omp(ainin+

of infreIuent perio)s, wei+ht +ain 7 hirsutism.

ut(ine the steps you wou() ta*e in the mana+ement of

this patient3

Answer

9 History in(u)in+ re(eant points for po(yysti oarian

)isease. 9 E2aminationhair )istri0ution,!,


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+a(atorhoea 7 pi+mentation. 9 nesti+ations USG

:5S;, Hormone pro/(e in(u)in+ JSH#%H, serum pro(atin,

7 testosterone. 9 5#! p(anwei+ht re)ution, osmeti

measures, antian)o+ens 7 metformin. Sur+ia( 5#!in(u)e (aparosopi oarian )ri((in+ 7 )iathermy.

Question

A woman is rea)mitte) to hospita( at M wee*s

+estation with seere hyperemesis +rai)arum. 5his is

her ?r) a)mission to hospita( in the past & wee*s.

1. Enumerate the auses in or)er of poriority3 &. Chatinesti+ations wou() you arry out3 ?. Chat are

treatment options3

Answer

1. "auses !o(ar pre+nany, !u(tip(e +estation, Urinary

trat infetion, pepti u(eration, panreatitis.

&. nesti+ations"","#E urine, serum e(etro(ytes, %J5s,LJ5,s.

?. 5reatmentemotiona( 7 psyho(o+ia( support 9 J(ui)

7 e(etro(yte 0a(ane 0y # hy)ration 9 Antiemetis 7

parentera( -omp(e2 9 "ortiosteroi)s 7 parentera(

nutrition 9 n ery seere 7 rare ases an) in mo(ar

pre+nany termination of pre+nany.

Question

A & years o() P, asthmati 7 o0ese presents in

+ynae PD with H# Rfee(in+ of a (ump )own 0e(ow an)

0a*ahe. She has )iTu(ty in emptyin+ her 0(a))er.


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1. Chat is the most (i*e(y )ia+nosis3

&. Chat ris* fators ontri0ute to )ee(opment of suh

on)ition3

Answer

1. Dia+nosis Uteroa+ina( pro(apse

&. Lis* fators8 9 DiTu(t pro(on+e) a+ina( )e(iery

:whih )ama+e neres, en)ope(i fasia 7 (eator ani;. 9

!utiparity 9 erwei+ht 7 "hroni ou+h :ause raise)

intraa0)omina( pressure;. 9 A+in+# menopausa( 9

"on+enita(.

Question

A ?? years o() P? presents in PD with the history of ur)

(i*e thi* a+ina( )ishar+e, pruritis 7 u(a( soreness.

1. Chat is most (i*e(y )ia+nosis3

&. How wi(( you treat this (a)y3

Answer

1. Dia+nosis a+ina( an)i)iasis &. 5#!8 9 Patient shou()

improe her persona( hy+ine. 9 5reat oe2istent

on)itions :e.+ D!; 9 5reat partner. 9 Jor unomp(iate)

an)i)iasis, +ie (oa( therapy with sin+(e )ose

(otrimazo(e


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A ?& years o() P 0eomes unonsious & hours after

)e(iery.

1. Chat are the auses of pospartum o((apse3

&. Chat wi(( 0e the 0asi (ife support s*i((s in this ase3

Answer

"auses Simp(e faint, Epi(epti faint, Hypo+(yemia,

profoun) hypo2ia, intraere0ra( 0(ee), ere0ra( infartion,

ar)ia patho(o+y, pu(monary em0o(ism, ma6or

hemorrha+e 7 hypoo(emia, septi sho*, e(ampsia 7 AJ

em0o(ism.

%S s*i((s Sha*e 7 shout, Airway 7 0reathin+, maintain

iru(ation, treat hypoo(emia 0y a++ressie =ui)

therapy, stop hemorrha+e, sta0i(ize 7 see* the ause,

senior mu(ti)isip(inary assistane throu+hout.

Questions33

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