Premature rupture of membranes resident survival guide: Difference between revisions
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{{familytree/start |summary=PE diagnosis Algorithm.}} | {{familytree/start |summary=PE diagnosis Algorithm.}} | ||
{{familytree | | | | A01 | | | A01= History suggestive of PROM<be>(leakage of [[Amniotic fluid|fluid]] from the [[vagina]])}} | {{familytree | | | | A01 | | | A01= History suggestive of [[PROM]]<be>(leakage of [[Amniotic fluid|fluid]] from the [[vagina]])}} | ||
{{familytree | | | | |!| | | | }} | {{familytree | | | | |!| | | | }} | ||
{{familytree | | | | B01 | | | B01= [[Physical examination]] findings confirm [[PROM]]<br>•Pooling of [[Amniotic fluid|fluid]]<br>•Positive [[nitrazine]] and Ferning tests}} | {{familytree | | | | B01 | | | B01= [[Physical examination]] findings confirm [[PROM]]<br>•Pooling of [[Amniotic fluid|fluid]]<br>•Positive [[nitrazine]] and Ferning tests}} | ||
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{{familytree | C01 | | | | C02 | C01= [[PROM]] ruled-out| C02= [[PROM]] confirmed}} | {{familytree | C01 | | | | C02 | C01= [[PROM]] ruled-out| C02= [[PROM]] confirmed}} | ||
{{familytree | | | | | | | |!| | | | }} | {{familytree | | | | | | | |!| | | | }} | ||
{{familytree | | | | | | | B01 | | | B01= Check [[gestational age]]<br>•Arrange transportation to tertiary care if possible<br>•Arrange prompt consult with [[obstetrician]]<br>•[[Non-stress test|Fetal non-stress test]] and [[ECG]] to assess well being}} | {{familytree | | | | | | | B01 | | | B01= Check [[gestational age]]<br>•Arrange transportation to [[tertiary care]] if possible<br>•Arrange prompt consult with [[obstetrician]]<br>•[[Non-stress test|Fetal non-stress test]] and [[ECG]] to assess well being}} | ||
{{familytree | | | | | | | |!| | | | }} | {{familytree | | | | | | | |!| | | | }} | ||
{{familytree | | | B01 |-| B02 | | | B01= Induce delivery with [[Oxytocin|oxytocin]] if at-term [[gestation]]| B02= Plan delivery if any signs of [[infection]], [[placental]] insufficiency, [[fetal distress]], or [[Labor|active labor]]}} | {{familytree | | | B01 |-| B02 | | | B01= Induce delivery with [[Oxytocin|oxytocin]] if at-term [[gestation]]| B02= Plan delivery if any signs of [[infection]], [[placental]] insufficiency, [[fetal distress]], or [[Labor|active labor]]}} | ||
Revision as of 16:36, 14 October 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Synonyms and keywords:
Overview
This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.
Causes
Life Threatening Causes
Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Diagnosis
Shown below is an algorithm summarizing the diagnosis of [[disease name]] according to the [...] guidelines.
| History suggestive of PROM<be>(leakage of fluid from the vagina) | |||||||||||||||||||||||||||||
| Physical examination findings confirm PROM •Pooling of fluid •Positive nitrazine and Ferning tests | |||||||||||||||||||||||||||||
| Sterile speculum examination assess dilation and ultrasound if indicated | |||||||||||||||||||||||||||||
| PROM ruled-out | PROM confirmed | ||||||||||||||||||||||||||||
| Check gestational age •Arrange transportation to tertiary care if possible •Arrange prompt consult with obstetrician •Fetal non-stress test and ECG to assess well being | |||||||||||||||||||||||||||||
| Induce delivery with oxytocin if at-term gestation | Plan delivery if any signs of infection, placental insufficiency, fetal distress, or active labor | ||||||||||||||||||||||||||||
| 24-31 weeks •Antibiotics+steroids •Delivery if lung maturity is satisfactory | 32-33 weeks •Antibiotics+steroids •Delivery at 34 weeks or amniocentesis if abortion is suspected | 34-36 weeks •Group B strep prophylaxis •Delivery | |||||||||||||||||||||||||||
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.