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Gynecology > 3th Trimester Bleeding > Flashcards

3th Trimester Bleeding Flashcards

1
Q

Define placenta previa and its types

A

قرارگیری جفت در سگمان تحتانی رحم و محاور اینترنال اوس سرویکس

Complete
کامل روی اینترنال اوس

Partial
روی قسمتی از اینترنال اوس

Marginal
روی ‌حاشیه ی ۲سانتی اینترنال اوس

Low lying
دورتر از حاشیه‌ی ۲سانتی اینترنال اوس

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2
Q

Placenta previa RFs

A
  1. سابقه ی پرویا
  2. سابقه‌ی سزارین یا جراحی
  3. سن بالای ۳۵
  4. مولتی پاریتی
  5. سیگار و کوک
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3
Q

Placenta previa clinical presentation

A
  1. Bleeding in 3th trimester
  2. No pain
  3. Soft uterus
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4
Q

approach Placenta previa

A

Stable
36w >
observe + steroid

36w <
C/S

Unstable
C/S

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5
Q

How to manage and observe a stable P. Previa ?

A
  1. VS monitoring (CBC, NST)
  2. Hydration
  3. Steroid
  4. Bedrest
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6
Q

P. Previa side effect

A
  1. Bleeding
  2. Accreta
  3. Hysterectomy
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7
Q

Situations TV is prohibited

A

P. Previa

Abruption

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8
Q

Dx P. Previa

A

Transvaginal US

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9
Q

When is first P. Previa bleeding ?

A

29-30 w

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10
Q

Which one increases fetal distress ?
P. Previa
P. Abruption

A

P. Abruption

Due to bleeding by fetal origin

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11
Q

P. Abruption def

A

جداشدن زود هنگام جفت قبل از خروج ‌جنین

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12
Q

P. Abruption RFs

A
  1. سابقه
  2. سن بالا
  3. سیگار کوک
  4. مولتی پاریتی
  5. Trauma
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13
Q

P. Abruption symptoms

A
  1. Painful contractions
  2. Vaginal bleeding
  3. Fetal distress
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14
Q

P. Abruption dx

A

Clinical

US

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15
Q

P. Abruption side effect

A
  1. DIC (most common)
  2. IUGR
  3. IUFD
  4. Preterm Labor
  5. Couvelaire uterus
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16
Q

P. Abruption approach

A

Stable

  1. Hydration
  2. CBC
  3. PT PTT
  4. Marking uterus fundus

Stable & preterm(<34)
Observe

Unstable
C/S

17
Q

Vasa previa

A

عبور عروق خونی جنین از روی اینترنال اوس

18
Q

Dx Vasa Previa

A

TVS + color doppler

19
Q

Rx Vasa Previa

A

C/S

Blood transfusion if fetal distress

Gynecology (28 decks)

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