Unmanned
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| indications/uses of curette | Diagnostic: 1. endometrial sampling in AUB, test for infertility
Therapeutic: 2. evacuation of POC, 3. removal of endometrial polyps 4 elective termination of pregnancy 5. removal of lost IUCD
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| non-anaesthetic complications of using curette/dilation & curettage | Early:1. uterine perforation 2. haemorrhage 3. Infection 4. Air embolus
Late: 4. Asherman syndrome 5. cervical stenosis
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| 2 alternatives to curette and give advantage of each | 1. endometrial aspirator (pipelle): simple in office procedure, no anaesthesia required 2. suction cannula for removal of POC: reduced risk of uterine perforation, better histological yield
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| How would u advise pt after d&c (expectation) | 1. May have cramping
2. Spotting or light bleeding
3. May have some N&V if GA
4. period may come early or late
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| What would you advise a pt not to do after d&C | 1. No sex or tampons until cleared by obgyn
2. Attend follow up appointment
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| what warning signs should a pt look out for after d&C | 1. heavy bleeding or clots
2. fever
3. abdominal tenderness
4. foul smelling discharge from vagina
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IonaDel
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