Blog Archives

Well-baby Care – RBR / CPS2013

1 Measure and chart growth parameters, including head circumference, at each assessment; examine appropriate systems at appropriate ages, with the use of an evidence-based pediatric flow sheet such as the Rourke Baby Record. Chart wt, ht, head circumference on growth scale Correct

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Posted in 99 Priority Topics, 99 Well-baby Care, FM 99 priority topics, OB

Pregnancy Part 4 – TN2014/SOGC2013

9 In a patient with clinical evidence of complications in labour (e.g., abruption (see part 3), uterine rupture, shoulder dystocia, non-reassuring fetal monitoring (see part 3)): a) Diagnose the complication. b) Manage the complication appropriately. Shoulder Dystocia Anterior shoulder impaction against

Posted in 76 Pregnancy, 99 Priority Topics, FM 99 priority topics, OB

Pregnancy Part 3 – SOGC / TN2014

7 In a pregnant patient presenting with features of an antenatal complication (e.g., premature rupture of membranes, hypertension, bleeding): a) Establish the diagnosis. b) Manage the complication appropriately. Nausea and Vomiting 50-90% of pregnant women, often limited to T1, but may

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Posted in 76 Pregnancy, 99 Priority Topics, FM 99 priority topics, OB

Pregnancy Part 2 – HTN – SOGC 2014

Ominous symptoms: RUQ pain, H/A, Visual disturbances Dx 1) Pre-existing (chronic) hypertension: HTN (>140/90) that develops either pre-pregnancy or at < 20+0 weeks’ gestation Essential HTN ↑ risk of gestational HTN, placenta abruption, IUGR, IUFD Performed during early pregnancy: (if not previously documented): serum

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Posted in 76 Pregnancy, 99 Priority Topics, FM 99 priority topics, OB

Pregnancy Part 1 – SOGC 2014/ TN2014

Definitions: First Trimester = 0-12 wks          Second = 12-28 wks       Third = 28-40wks Term = 37-42 Active Labour: regular contractions result in cervical change / descent of the fetus (presenting part) Gravity = #

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Posted in 76 Pregnancy, 99 Priority Topics, FM 99 priority topics, OB

Newborn – AFA 2014

1 When examining a newborn, systematically look for subtle congenital anomalies (e.g., ear abnormalities, sacral dimple) as they may be associated with other anomalies and genetic syndromes. History: Pregnancy – planned/not, prenatal care, Prev OB Hx, results of routine tests (ABO blood

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Posted in 67 Newborn, 99 Priority Topics, FM 99 priority topics, OB

Learning – AFP 1999

Patients: 1 As part of the ongoing care of children, ask parents about their children’s functioning in school to identify learning difficulties. Parental concerns, usually when the child fails to achieve academic milestones alongside his/her peers (report cards, etc) Can

Posted in 57 Learning, 99 Priority Topics, FM 99 priority topics, OB
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