EmtObGyn - Obstetrics/Gynecology Emergency Medical...

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Obstetrics/Gynecology Emergency Medical Technician - Basic
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Female Reproductive System Uterus Cervix Vagina Urinary Bladder Rectum
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Female Reproductive System Uterus Vagina Fallopian tube Ovary Cervix
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OB/Gyn Assessment History When was your last  normal  menstrual period  (LNMP)? Abdominal pain? (location/quality) Vaginal bleeding/discharge?
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OB/Gyn Assessment History Is there a possibility you might be pregnant? Missed period? N/V Increased urinary frequency Breast enlargement Vaginal discharge
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OB/Gyn Assessment History If pregnant: Para = # of live births Gravida = # of pregnancies -3 /+ 7 to estimate due date Subtract 3 from the month of the LNMP Add 7 to the date of the LNMP LNMP - 12/9/98 Due date - 9/16/99
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OB/Gyn Assessment Vital signs Hypertension Hypotension Tilt test if blood loss is suspected Focused exam Edema (particularly of face, hands)
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Gyn Emergencies
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Ectopic Pregnancy Zygote implants in  location other than  uterine cavity 95% are in Fallopian  tube (tubal ectopic) Life threatening!
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Ectopic Pregnancy Signs and Symptoms Missed period, other signs/symptoms of early  pregnancy Light vaginal bleed (spotting) 6-8 weeks after  LNMP Abdominal pain, may radiate to shoulder Positive “tilt” test Other signs/symptoms of hypovolemic shock
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Ectopic Pregnancy Signs and Symptoms Abdominal pain may be absent Some patients may NOT miss period Some patients may have NEGATIVE  pregnancy tests
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Ectopic Pregnancy Lower abdominal pain or unexplained hypovolemic shock in a woman of child-bearing age equals Ectopic Pregnancy Until Proven Otherwise
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Ectopic Pregnancy Management 100% O 2 Supportive care for hypovolemic shock Transport immediately
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Pelvic Inflammatory Disease Acute or chronic infection Involves Fallopian tubes, ovaries, uterus,  peritoneum Most commonly caused by gonorrhea Staph, strep, coliform bacteria also cause  infections
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Pelvic Inflammatory Disease Signs and Symptoms Lower abdominal pain Gradual onset over 2-3 days, beginning 1-2  weeks after last period Fever, chills Nausea, vomiting Yellow-green vaginal discharge Walks bent forward, holding abdomen
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Pelvic Inflammatory Disease Management High concentration O 2 Transport
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Spontaneous Abortion “Miscarriage” Pregnancy terminates before 20th week Usually occurs in first trimester (first three  months)
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Spontaneous Abortion Signs and Symptoms Vaginal bleeding Cramping lower abdominal pain or pain in  back Passage of fetal tissue
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Spontaneous Abortion Complications Incomplete abortion Hypovolemia Infection, leading to sepsis
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Management
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EmtObGyn - Obstetrics/Gynecology Emergency Medical...

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