6) OB/GYN & GU Flashcards
Threatened Abortion
-Closed Cervical OS
-Membranes intact
<20wks
-No POCs expelled
Inevitable Abortion
-Open cervical OS
-Membranes ruptured
<20 wks
-No POCs expelled
Incomplete Abortion
<20wks gestation
- Open cervical OS
- Some POCs expelled
Complete Abortion
<20 wks gestation
- All POCs expelled
- Internal cervial OS closed
Septic Abortion
-fever
-Os opened or closed
-some POCs retained
Tx: IV abx
Missed Abortion
- small uterus for dates; not growing
- no cardiac activity by US
- closed internal cervical OS
- nonvialble tissue is not expelled in 4 wks
Placental Previa
RF: c-sections, uterine scars, advanced maternal age, multiparous women
-Bright red, painless vaginal bleeding w/o fetal distress
Placental Abruption
RF: HTN, abdominal or pelvic trauma, cocaine or tobacco use and advanced maternal age
-Dark, painful, vaginal bleeding, abdominal pain, uterine hypertonicity and tenderness
Preeclampsia=
hypertension in pregnancy associated w/
- proteinuria >300mg/day
- nondependent edema (hands and face)
Eclampsia
seizures in a patient w/ preeclampsia
When can you see gestational sac
transabdominal US: at 6 weeks gestation (BhcG ~6000 to 6500mIU/mL)
transvaginal US: at 5 weeks gestation (BhcG ~1500 to 2000)
Gold standard for diagnosis of ectopic pregnancy
Laparoscopy
Contraindications to medical treatment of ectopic pregnancy
- presence of an adenexal mass >4cm in diameter
- presence of fetal cardiac activity of transvag US
Most common age for testicular torsion
1st year of life and around puberty
What is the bell clapper deformity
tunic vaginalis inserts high on the spermataic cord leaving the testis and epididymis fee to orate w/in the tunic (usually B/L deformity)
