50

Mnemonics
In Gynecology and
Obstetrics

2011-2012

Eslam Ali Hamed

Ain Shams University
In the name of Allah, the Most Gracious , the
Most Merciful.

Introduction

The only purpose of this work is for Allah

sake . If there is any grace on me that'll be
from Him only. So I seek nothing from this
work but His blessing and mercy.

I pray to Allah that this book provide you

with useful knowledge.

Please dont forget me , my family and my

colleague Dr. Alaa Abd El-Hady in your
prayers may Allah forgive his sins and place
him the highest places in Heaven.

At the end All praises be to Allah.

The author

medicalmnemonics@hotmail.com

1* Def. of normal labor : SMS ABC VIP
Single
Mature
Spontaneous
Alive
Birth canal
Complications "no"
Vertex
Interference "no"
Prolongation "no"

2* True Labor Pain : HERPS

Harder uterus
Effective for cx dilatation
Regular
Painful
Sedation and enema increase it

3* Signs Of Placental Separation : BEGGS

Bulge "suprapubic"
Elongation of the cord
Gush of blood
Globular uterus "harder, higher"
Straussman sign

4* DD. Of Frozen Pelvis : PETS

PID
Endometriosis
TB, Tumors
Surgeries

5* Endometriosis : ENDOMETRIOSIS
Estrogenemia
Nullipara
Dysuria , Dyschazia , Deep pain , Deep
Dysparuria , Dysmenorrhea
Ovarian cyst "chocolate"
Menorrhagia , Meyer's theory
Endoscopy "diagnosis , ttt"
Thirties
RVF uterus
Infertility
OCP " progestins"
Secondary Spasmodic dysmenorrheal
Implantation , Induction , Immunological
theories
Sampson theory

6* Indications for amniocentesis : BIG-Lung

Billirubin
Infection
Genetics
Lung maturity

7*Complications of sudden ROM in PHA : PAST

Prolapse of the cord
Abruptio placenta
Splanchnic Shock
Transposition of fetus

8* DD. Of Hyperestrogenic state:
FEED the PoPPy
Fibroid
Endometrial hyperplasia
Endometriosis
DUB
PCO
Precocious Puberty

9* Polycystic Ovarian syndrome : EVA LONGORIA

Endometrial hyperplasia
Vicious cycle "LH , estrogen"
Anovulation

LH "increased"
Oligomenorrhea
Necklace appearance by u/s
Glucose intolerance
Obese
Rotterdam's def.
Infertility
Androgenism , Adam's criteria

10* Complications of cyst : MR. THIN

Malignancy
Rupture
Torsion
Hemorrhage
INfection , Inflammation

11* Causes of Amenorrhea after labor : LA CASA
Lactational
Another pregnancy

Chiari Frommel synd.

Asherman synd.
Sheehan synd.
Another cause of 2ry Amenorrhea

12* Antiphospholipid Ab synd. : ATRIAL

Autoimmune
Thrombosis
Reccurent abortion
IUGR
Abrubtio placenta , Aspirin , Anticardiolipin Ab.
LMW heparin , Lupus anticoagulant

13* Testicular feminization $ (Morris $): MORRIS

Male "xy , hormones"
Only fat in breasts
Receptor insensitive to androgen
Recessive "x-linked dis."
Internal testis
Sexy female

14* Defending Egypt From Invasive Enemy
Really Easy Soldier :
Descent
Engagment
Flexion
Internal rotation
Extension
Restitution
External rotation
Shoulders

But if we sit on out BREECH : Defending Egypt

Really Faked
Descent
Engagment
Rotation
Flexion

15* Functions of AF : WE-IMPACT

Wash birth canal
Excretion

Infection "bacteriostatic"
Mechanical trauma , Movement
Pulmonary hypoplasia
Adhesions
Cx dilatation
Temprature regulation

16* Elevated maternal serum alfa feto pt. :
HE-WRONG
Hepatic anomalies
Ectopic , multiple pregnancy
Wrong date or calculation
Renal anomalies
Obstruction in urinary system
Neural tube defect
GIT atresia

17* Uterine prolapse operations : FLUSH

Fothergill operation
Le Forte operation
Uterosacropexy
Sacrospinous fixation
Hystrectomy "VH & pelvic floor repair"

18* Progestins :
NOR THIS MEDICATION LEAVES GESTATIONAL
DISEASE NORMAL

NORETHISterone
MEDroxy p. acetate
LEVOnorgestrel
GESTodene
DESOgestrel
NORgestimate

19* Functions of cervical mucous : SOAP
Sperm capacitation
Ovulation tests
Ascending infections prevention
Plug during pregnancy

20* Postmenopausal bleeding : MAGIC-HRT

Malignancy "endo. cA"
Atrophic endometritis
General cause
Infections
Complications of prolapse
HRT

21* Diagnostic uses of curettage : HOPE

Hemorrhage " uterine bleeding for histopath."
Ovulation test "secretory changes"
Prolapse " exclude intrauterine pathology"
Endometritis "e.g T.B."

22* Therapeutic uses of curettage : READ

Retained products of conception
Endometrial polypi
Abortion "evacuate uterus"
DUB

23* Congenital cervical malformations : APE

Atresia
Patulous internal Os
Elongation

24* Personal history : NORMAL Parity
Name
Occupation
Residency
Marital status
Age
Life style "special habits"
Parity

N.B. : if you are taking medical sheet rather

than gyn. & obst. So it'll be NORMAL Sex

25* Five main symptoms of gyna. Sheet :

Post Menopausal Bleeding Indicates Atrophic
endometritis.
Pain
Mass
Bleeding
Infertility
Amenorrhea

26* Clinical aspects of Ovulation : ROOMS

Regular cycles
Ovulatory Discharge
Ovulatory spotting
Midcyclic pain "Mittleschmerz" , Mastalgia
Spasmodic dysmenorrheal

27* Investigations for Ovulation : CLEFT Palate
Cervical mucous changes , vaginal smear
LH surge , Laparoscopic view of CL
Endometrial biopsy "secretory"
Folliculometry "20 ml"
Temperature "biphasic"

Progesterone level " mid-luteal"

28* Uterine causes of abortion : STRAP

Septate uterus
Twins
RVF
Asherman $
Patulous Internal Os

29* Causes of proteinuria during pregnancy :

FIGO
False proteinuria " due to contamination"
Infection of urinary tract
Gestational proneinuria
Orthostatic

30* Causes of lower limb oedema : VALID
Varicose veins
Anasarca " hepatic, renal , nutritional ,
cardiac"
Lymphedema
Infection "cellulitis"
DVT

31* Consideration s to decide between

termination or conservation of pregnancy :
MILD
Maturity of fetus
Intensity of signs and symptoms
Labor or not
Distressed fetus or not

32* Acute complications of a preterm baby :

PAIR
PDA
Atelactesis
Intracranial hemorrhage
Retrolental fibroplasias

33* Causes of polyhydraminos :
Twins CHILDREN
Twins

Congenital malformations
Hydrops fetalis
Idiopathic "most common" , Infections
Large placenta
DM : most important"
Rh sensitization
Edema of the mother
Neuromuscular incoordination

34* Risk factors for dizygotic twins : DRIFT

Drugs " which inhibit or stimulate ovulation"
Racial
Increased age , parity
Familial tendency
Tall female

35* Placental functions : NEITHER BARRIER

Nutrition
Endocrinal
Immunological
Transfer waste products
Hemopoietic
Enzymatic
Respiratory

BARRIER

36* Abnormal shapes of placenta : Bi Bi CSF

Bi-lobate
Bi-partite

Circumvallate
Succenturiate
Fenestrata

37* Causes of 1ry post-partum hemorrhage :

TARDA
Trauma
Atony "most common"
Retained placenta
DIC
Acute inversion

38* Causes of bleeding in early pregnancy :

GLADE
Gestational trophoblastic diseases
Local causes
Abortion
Decidual hemorrhage
Ectopic pregnancy

39* DD. Of Uterine prolapse : EPIC
Elongation of cervix
Polyp "fibroid"
Inversion of uterus
Carcinoma of cervix

40* Criteria of diagnosing inevitable abortion

" 2 out of 5 " : Did Rats Ever Beat Cats?
Dilatation of Cx. " > 3 cm "
Rupture of membranes
Expulsion of products of conception
Bleeding " > 7 days "
Cramps despite narcotic analgesics

41* Uses of progesterone : SCALE

Surgery in pregnancy
Carcinoma of endometrium
Abortion
Luteal phase defect
Endometriosis

42* premenstrual tension syndrome : MAJOR

Mastalgia
Abdominal fullness
Joint pains
Odd behavior
Restlessness

43* Protective mechanisms of female genital
system : NASA 3M
No glands in vaginal epithelium
Acidic PH " vagina "
Stratified squamous epithelium " vagina "
Apposition of libia & Ant. , Post walls of vagina

Mucous of cervix " bactericidal "

Menstruation
Movement of cilia " tubes "

44* Functional overian cysts : GAS

Gonadotrophins increase " cause "
Asymptomatic unless complicated
Spontaneous resolving , Small in size , less
than Six cm.

45* Causes of ambiguous genitalia : CHALK

Congenital adrenal hyperplasia
Hermaphrodism
Adrenal , overian tumours during pregnancy
Luteoma of pregnancy
Klinefelter's $ , Turner's $

46* Constriction ring : 4A

Any stage of labor
Any part of uterus
Appearance of hour glass " retained placenta "
Amyl nitrite inhalation " treatment "

47* Developmental causes of contracted
pelvis : SONAR
Small pelvis , Split pelvis
Otto pelvis
Naegele's pelvis
Assimilation pelvis "High type"
Robert's pelvis

48* Causes of DIC in obstetrics : I AM DIC

Incompatibility transfusion " ABO system "
Abruptio placenta , Amniotic fluid embolism
Missed abortion
Dextran infusion
Intra-uterine infection
Chorioamnionitis

49* Causes of deficient lactation : CHEW

Constitutional underdeveloped breasts
Hypoprolactinemia " shehaan $ "
Emotional stresses
W eakness of the mother

50* Causes of congenital hydrocephalus : CIA

Chromosomal abnormalities " trisomy 18 "
Infections " CMV , toxoplasmosis "
Arnold Chiari syndrome

All praises be to Allah