ABDOMINAL PAIN AND VAGINAL BLEEDING IN OB/GYN

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ABDOMINAL PAIN AND VAGINAL BLEEDING IN OB/GYN

• DR. AHMED ALHARBI
• OB/GYN CONSULTANT

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ABDOMINAL PAIN AND VAGINAL BLEEDING IN GYN

• DIFFRENCIAL DIGNOSIS
• MISCARRIEGES
• ECTOPIC PREGNANCY
• UTERINE FIBROID
• PELVIC ENDOMETRIOSIS
• ADENOMYIOSIS
• CERVICAL POLYP
• SPASMODIC DYSMENORRHEA
• PELVIC INFLAMATORY DISEASE

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D/D OF ABDOMINAL PAIN WITHOUT VAG/BL IN GYN

• ECTOPIC PREGNANCY
• OVARIAN TUMOUR
• DELAYED PERIOD
• UTERINE FIBROID INVOLVING MYOMETRIUM OR THE
  SEROUSA
• PELVIC ENDOMETRIOSIS

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• URINARY TRACT INFECTION
• PYELONEPHRITIS
• RENAL STONES
• CHOLYCYSTITIS
• PANCREATITIS
• APPENDICITIS
• INTESTINAL OBSTRUCTION

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• PNEUMONIA LOWER LOBE
• PULMONARY EMBOLUS
• SICKLE-CELL CRISIS
• MALARIA

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ABDOMINAL PAIN WITHOUT VAGINAL BL. IN OB

• UTERINE FIBROIDS TORSION,RED DEGENERATION
• OVARIAN CYSTS TORSION,RUPTURE FULMINATING PET
  ,HELLP SYNDROME
• PAINFUL BRAXTON-HICKS CONTRACTIONS
• UTI
• PYELONEPHRITIS

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• OVER STRECH ON THE ROUND LIGAMENT
• CONSTIPATION
• HEARTBURN
• RIB PAIN/COSTOCHONDRITIS

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• RENAL STONES
• APPENDICITIS
• INTESTINAL OBSTRUCTION
• CHOLYCYSTITIS
• PANCREATITIS
• DIABETES, PNEUMONIA, PE, SICKLE-CELL CRISIS

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ABDOMINAL PAIN WITH V.BL IN OB

• PREMATURE LABOUR
• PLACENTAL ABRUPTION

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MANAGEMENT

• HISTORY
• PHISICAL EXAMINATION

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INVESTIGATIONS

• MIDSTREAM URINE MICROSCOPY C/S
• PRENANCY TEST BY URINE OR SERUM
• CBC, BLOOD CULTURE
• SERUM U ES
• LFTS
• FBS, URINE ANALYSIS

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• COAGULATION PROFILE
• SICKLING TEST
• PELVI-ABDOMINAL ULTASOUND
• CT/MRI
• CTG
• ECG
• CHEST X-RAY

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• THE END
• Hopefully you enjoyed the lecture!!!