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Gynaecology & Obstetrics Clinical Features, Diagnosis, and Pathology b1e3103d

Not true about Red degeneration of myomas is-

A
It occurs commonly during pregnancy
B
Immediate surgical intervention is needed
C
Due to interference with blood supply
D
Treated with analgesics
High-Yield Explanation
Ans. is 'b' ie immediate surgical intervention needed Red degenerationis the most frequent* complication of myomas during pregnancy.The tumour assumes a peculiar purple red colour.It usually occurs due to thrombosis of large veins in the tumour.it has a peculiar fishy odour*Clinical featuresAcute onset of pain over the tumour*Malaise or even rise of temperature*Tenderness or rigidity over the tumourBlood count shows Leucocytosis*Rapid pulseConstipationTreatmentMainly conservative*Analgesics & sedativesAmpicillinThe symptoms usually clear off within 10 days.Surgery is not required even when laparotomy is done with mistaken diagnosis, abdomen is to be closed without doing anything.

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