Midwifery And Gynaecological Nursing | AIIMS NORCET 10 | Aarogyam Infinity MCQ Series | Part 26

Описание: Midwifery And Gynaecological Nursing | AIIMS NORCET 10 | Aarogyam Infinity MCQ Series | Part 26
BY Ritu Ma'am

Welcome to Part 26 of the Aarogyam Infinity MCQ Series for Midwifery and Gynaecological Nursing! 🩺 In this session, we conduct a comprehensive Mixed-Bag Revision Test focusing heavily on Ectopic Pregnancy and its management, while also touching upon early pregnancy complications like missed abortion.
This lecture provides a detailed breakdown of Ectopic Pregnancy (sites, causes, signs like Cullen's sign, and management). We also review the GTPAL scoring system for obstetrical history and discuss procedures like Dilatation & Curettage (D&C).

🔍 Key Topics Covered in this Session:
Early Pregnancy Bleeding: Differential diagnosis between Abortion, Ectopic Pregnancy, and Hydatidiform Mole.
Abortion Management: Nursing preparation for D&C in missed abortion cases.
Ectopic Pregnancy:
Most Common Site: Ampulla of the Fallopian Tube.
Causes: PID (Salpingitis) as the leading cause due to scarring.
Clinical Features: Triad of symptoms (Amenorrhea, Abdominal Pain, Vaginal Bleeding) and signs of rupture (Shoulder tip pain, Cullen's sign).
Diagnosis: Transvaginal Ultrasound (TVS) as the most common tool.
Management: Medical (Methotrexate) vs. Surgical (Salpingectomy - removal of tube vs. Salpingostomy - conservative).
Fallopian Tube Anatomy: Arrangement from Medial to Lateral (Interstitial, Isthmus, Ampulla, Infundibulum).
Obstetrical History: Detailed explanation of GTPAL scoring (Gravida, Term, Preterm, abortion, Living).
Culdocentesis: Diagnostic significance of non-clotting blood in the Pouch of Douglas (Ruptured Ectopic).
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⏱️ Timestamps:
00:00 - Introduction
02:40 - MCQ: Management of Missed Abortion (D&C)
05:13 - MCQ: Most Common Site of Ectopic Pregnancy (Fallopian Tube)
07:44 - Differential Diagnosis: Bleeding in Early Pregnancy
13:38 - MCQ: Leading Cause of Ectopic Pregnancy (PID/Salpingitis)
16:13 - Causes of Ectopic Pregnancy Explained
18:23 - MCQ: Classic Sign of Ruptured Ectopic Pregnancy (Shoulder Tip Pain)
21:14 - Clinical Features: Triad & Rupture Signs (Cullen's Sign)
24:55 - Pouch of Douglas Anatomy & Culdocentesis
26:40 - MCQ: Common Diagnostic Tool for Ectopic Pregnancy (TVS)
30:11 - MCQ: Surgical Removal of Entire Fallopian Tube (Salpingectomy)
36:06 - Conservative vs. Non-Conservative Surgical Management
41:19 - MCQ: Anatomy of Fallopian Tube (Medial to Lateral)
44:24 - MCQ: Management of Unruptured Ectopic Pregnancy (Medical/Methotrexate)
47:38 - MCQ: Diagnosis of Ruptured Ectopic Pregnancy (Culdocentesis findings)
51:07 - Homework Question: Cause of Fetal Death in Ectopic Pregnancy
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