Gynecology Question:

What are the side-effects of magnesium sulphate therapy?

Answer:

Nausea
Vomiting
Thirst

Flushing of skin

Muscle weakness
Loss of deep tendon reflexes

Respiratory depression

Confusion, drowsiness, coma

Hypotension
Arrhythmias.

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35 year old woman is thought to have a vesico-vaginal fistula. What are the main causes of vesico-vaginal fistulas?	A 14year old woman attends with her mother because she has not started menstruating. Outline your initial assessment?