Web-site
Contact us
Tonight we started with a labour ward scenario and then had a role-play with a nulliparous woman whose brother has cystic fibrosis attending for pre-pregnancy counselling.
Labour Ward Scenario 1.
Sunday 13.00 hours.
Labour Ward.
| 1 | Mrs JH | Primigravida. T+8. In labour. 6 cms. |
| 2 | Mrs AH | Primigravida at T. In labour. 5 cms. |
| 3 | Mrs. BH | Para 2. 30 days post delivery. 2ry. PPH > 1,000 ml. Hb. 9.3. |
| 4 | Mrs SB | Primigravida. 32/52 gestation. Admitted 30 minutes ago. Abdominal pain + 200 ml. bleeding. Nephrostomy tube in situ - not draining since this morning. Low placenta on 20 week scan. |
| 5 | Mrs KW | Para 1. In labour. Cx. 5 cm. Ceph at spines. |
| 6 | Mrs KT | Para 0+1. 38 weeks. SROM. Ceph 2 cm. above spines. Clear liquor. |
| 7 | Mrs TB | Para 1. T+4. Clinically big baby. Cx fully dilated for 1 hour. Type 1 decelerations. |
| 8 | Mrs RJ | Primigravida. Epidural. RIF pain. Cx fully dilated for 1 hour. Shallow late decelerations. OT position. Distressed ++. BP /105. ++ protein. Urine output 50 ml in past 4 hours. |
| 9 | Mrs KC | Transfer from ICU. 13 days after delivery of 32 week twins. Laparotomy on day 7 for pelvic pain and fever. Infected endometriotic cyst removed. IV antibiotics changed to oral. |
Gynaecology ward.
8 major post operative cases who have been seen on the morning ward round and are stable. Husband of patient who has had Wertheim's hysterectomy asking to see a doctor for a report on the operation.
| 1 | Mrs JB | 10 week incomplete miscarriage. Hb. 10.8. Moderate fresh bleeding. |
| 2 | Ms AS | 19 years old. Nulliparous. Just admitted with left iliac fossa pain. Scan shows unilocular 5 cm. ovarian cyst. |
Medical staff:
Consultant at home. Registrar - you.
Senior House Officer with 12 months experience.
Registrar in Anaesthesia.
Consultant Anaesthetist on call at home.
Midwifery staff:
Senior Sister. Trained to take theatre cases. Able to site IV infusions and suture episiotomies and tears.
3 staff midwives. 1 trained to take theatre cases. Two able to site IV infusions.
1 Community midwife looking after Mrs. KW.
2 Pupil Midwives.
This comment has been removed by the author.
ReplyDeleteHi,
DeleteI am not sure what link you are referring to. If it was the link to the podcast, that podcast has vanished. They only stay on the internet for a few weeks - it is a matter of cost. Download the ones you might want to listen to. There is a link to cystic fibrosis in the MCQs: http://www.drcog-mrcog.info/MCQ%20P2,%20q1.htm.
Are you preparing for the MRCOG? If so, send me an e-mail and I'll send you some information and advice. You can get the e-mail address from the contact link.