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Dec. 15th, 2010 10:04 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
squeefulfishI rather enjoyed today's exam. Once I got to the venue and discovered that yes, my name was on the list and yes I didn't have time to pee before going in and no, I didn't have my bottle of crankberry juice on me after all. Am going through a horrendous UTI, started a few days ago with pain similar to last year's kidney stones, vomiting n all. Then sometime last night it decided to migrate to my back and hence, actual kidneys. If there's one thing having a post-nephrectomy sister around has taught me, it's don't mess with these things. While I'll gleefully ignore advice to go see a GP when it's my tonsils that try to stop me breathing, UTIs aren't to be ignored, despite the having to figure out how to get to GP and how much he's charging now.
Anyway, exam went well. Question one is compulsory, babies, choose a or b.
a) A baby, born at term, develops jaundice within 12 hours of birth [abnormal abnormal awooga awooga!] Discuss the care and management that this baby blah de blah following 48 hours. [Didn't do this, pathological jaundice isn't interesting enough for me, not when I have:]
b) A term baby on the postnatal ward is showing signs of Neonatal Abstinance Syndrome at 8 hours old. The mother has a history of methadone use and heroine [sic] abuse during pregnancy. Discuss care and management blah de blah next 72 hours. [I freakin' love NAS! I really, really do! It's really interesting, cos signs appear at different ages depending on what the baby's withdrawing from and then you've got all the fun drugs to play around with like morphine and all that wonderful looking after the mammy and eeeeeee! I don't get to do it in real life, cos admit admit admit NICU but hey, I know my shit I do.]
Other questions on complications associated with multiple pregnancy and care of woman in labour with twin pregnancy (first twin head down, no information on twin II) and then my tasty, tasty genital tract sepsis. Fun fact kids, childbed fever, puerperal fever, has overtaken all other causes of maternal death. This is something that's easily diagnosed and easily treatable but as caregivers we've gotten complacent about it, sure that's only something that happened before we had antibiotics. Yes, but it helps if you actually give the antibiotics. It's an amazingly serious development because it reflects just how busy maternity units are and how basic care can be so easily overlooked. This could actually do with a whole, preferably coherent, referenced post on its own, but I'm tired and excited.
And now I can read for fun! I've got that lovely Kitzinger book waiting for me, after all. Nyom. Oh, and go me!
Anyway, exam went well. Question one is compulsory, babies, choose a or b.
a) A baby, born at term, develops jaundice within 12 hours of birth [abnormal abnormal awooga awooga!] Discuss the care and management that this baby blah de blah following 48 hours. [Didn't do this, pathological jaundice isn't interesting enough for me, not when I have:]
b) A term baby on the postnatal ward is showing signs of Neonatal Abstinance Syndrome at 8 hours old. The mother has a history of methadone use and heroine [sic] abuse during pregnancy. Discuss care and management blah de blah next 72 hours. [I freakin' love NAS! I really, really do! It's really interesting, cos signs appear at different ages depending on what the baby's withdrawing from and then you've got all the fun drugs to play around with like morphine and all that wonderful looking after the mammy and eeeeeee! I don't get to do it in real life, cos admit admit admit NICU but hey, I know my shit I do.]
Other questions on complications associated with multiple pregnancy and care of woman in labour with twin pregnancy (first twin head down, no information on twin II) and then my tasty, tasty genital tract sepsis. Fun fact kids, childbed fever, puerperal fever, has overtaken all other causes of maternal death. This is something that's easily diagnosed and easily treatable but as caregivers we've gotten complacent about it, sure that's only something that happened before we had antibiotics. Yes, but it helps if you actually give the antibiotics. It's an amazingly serious development because it reflects just how busy maternity units are and how basic care can be so easily overlooked. This could actually do with a whole, preferably coherent, referenced post on its own, but I'm tired and excited.
And now I can read for fun! I've got that lovely Kitzinger book waiting for me, after all. Nyom. Oh, and go me!
