Forensic Medicine

Saturday, May 23, 2015

Obstetrics Facts from Previous Papers

·         For the TPAL notation, T refers to the number of term infants delivered regardless of outcome (fetal demise at 37 weeks and term delivery at 38 weeks = 2); P stands for preterm (preterm delivery at 34 weeks = 1); A stands for abortions, either elective or miscarriages (it does not include ectopic pregnancies) (2 abortions + 2 miscarriages = 4); and L refers to number of living offspring (son and daughter = 2).

·         The T-ACE questions: practical prenatal detection of risk-drinking.

·         Ethnicity: Specific ethnic groups are more prone to specific diseases.
a.       Tay-Sachs disease (Ashkenazi Jews, French Canadians)
b.      Canavan disease (Ashkenazi Jews)
c.       Thalassemias (Mediterranean, Southeast Asian, Indian, or African people)
d.      Sickle cell anemia (African, Mediterranean, Caribbean, Latin American, or Indian people)
e.      Cystic fibrosis (Caucasians)

·         Main factor leading to ovulation – High conc of LH leads to ↑activity of collagenase, which digests the collagen fibers surrounding the follicle
·         G6P3215 means – Pt has been pregnant 6 times; 3 term, 2 preterm,1 abortion/ectopic, 5 living

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