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wolverine
Century Club
Joined: 16 Jan 2007
Posts: 394
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 Posted: Mon Jan 22, 2007 2:28 pm Post subject: |
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| I think it's false. Family Hx of DVT warrants investigation for thrombophilia and if this is positive then the COC could be cat 3 but if screening is negative then Yes they can use it. |
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Nick Raine-Fenning
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Joined: 27 May 2006
Posts: 1854
Location: Nottingham
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| Posted: Mon Jan 22, 2007 5:39 pm Post subject: |
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| Abik wrote: | The RCOG guideline on this says quite clearly that COCs should be avoided in women with a personal history of VTE. It then goes on to say that it is WHO cat 3 which means benefits outweigh risks. Surely this means that for the sake of exams we should assume that COCs should not be used in this case?
Abi |
I think you are right Abi - best be safe.
I ws thinking more about HRT and there are more alternates when we consider contraception.
The question was 'family history' though right? Still false therefore.
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"Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997 |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1854
Location: Nottingham
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| Posted: Mon Jan 22, 2007 5:40 pm Post subject: |
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| wolverine wrote: | | I think it's false. Family Hx of DVT warrants investigation for thrombophilia and if this is positive then the COC could be cat 3 but if screening is negative then Yes they can use it. |
Yes - I agree.
Sorry missed this as was reading and replying to posts on the first page 
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"Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997 |
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Abik
Century Club
Joined: 15 Jan 2007
Posts: 243
Location: Poole
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| Posted: Mon Jan 22, 2007 6:04 pm Post subject: |
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yes question was false as referring to family history - thanks for clearing that up Nick!
Abi |
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pass07
Joined: 07 Feb 2007
Posts: 26
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| Posted: Sat Feb 10, 2007 2:26 pm Post subject: |
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4. The recommended regimen for levonorgestrel emergency contraception is 0.75mgs repeated after 12 hours
FALSE - 1.5mg as a single dose.
how come? |
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rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
Posts: 966
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| Posted: Sat Feb 10, 2007 2:57 pm Post subject: |
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1.5 gram single dose is the latest recomendation by the Faculty of family planning.
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Dr Miss. Raj Walavalkar MBBS MRCOG
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Xerxes I
Century Club
Joined: 01 Mar 2007
Posts: 228
Location: Winchester
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| Posted: Tue Apr 08, 2008 1:36 pm Post subject: |
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| bronwyn wrote: | True.
You mean risks outweigh benefits for WHO 3.
And if you look at the WHO table previous VTE is actually under WHO 4 (unacceptable health risk)!
Think Nick's thinking of HRT maybe
B |
the question is about Family history. this depends on which family member and at what age and whether it had a transient risk factor (trauma, immobilisation etc)
FFPRHC says Family history of VTE in a first-degree relative aged <45 years is UKMEC3 and a personal Hx is UKMEC 4 |
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nibbs07
Joined: 03 Dec 2007
Posts: 9
Location: Hampshire
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| Posted: Fri May 09, 2008 7:19 pm Post subject: C/I for IUCD |
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C/I for IUCD
H/o rheumatic HD - F
H/O valvular HD - F
what do u say guys
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Xerxes I
Century Club
Joined: 01 Mar 2007
Posts: 228
Location: Winchester
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| Posted: Fri May 09, 2008 8:55 pm Post subject: |
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| valvular hear disease is WHO cat 2 for IUCD (benefit outweighs risks) and it is advised to give antibiotic cover at the time of insertion. |
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