Medicine an Surgery notes

Apr 24th, 2015
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Leopolds - AbdominalPalpation for Fetal PositionThe lie is either:LongitudinalTransverselong axis of the fetus is aligned to the mothersthis is the only NORMAL positionlong axis of the fetus is perpendicular to that ofthe mothersObliquelong axis of the fetus is 0-90 degrees (or 90-180degrees) to that of the mothersLongitudinalLongitudinalTransverseThe presentation is either:Vertexhead down in the pelvisBrowFacialBreechhead is up in the uterine fundusand the buttock in the pelvisShoulderAttitudeRelationship of fetal parts to each other: Flexed Deflexed ExtendedDenominatorThe denominator is a letter thatrepresents the presenting fetal partUsed in the listing systemOcciputSacrumMentumFrontalAcromion ACOSMFor ScapulaSCPRESENTATIONATTITUDEDENOMINATORVertexFlexedOcciputBrowDeflexed(vertex)FrontalFacialExtended(vertex)MentumBreechSacrumShoulderACromion/ScapulaLie LongitudinalPresentation BreechDenominator SacrumFlexed Vertex Presentation8 PossibilitiesLOLROLLOAROAROPLOPOPOAOAROAROLLOALOLROP OP LOPPosterior (OP)Lateral (LOL)Full/Complete BreechIncomplete BreechFrank Breecharms & legs flexed in thefetal positionarms flexed but legsextended straight up overheadFootling Breechone

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