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OBGYN 2 > Abortion > Flashcards

Abortion Flashcards

1
Q

WHat are the types of abortions?

A 
Threatened 
Inevitable 
Incomplete
Complete
Missed
Septic 
Induced
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2
Q

What is a Threatened Abortion?

A

Vaginal bleeding within the first 20 weeks of gestation. Not ending in spon abortion
No cervix dilation
No Expulsion of POC

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3
Q

What is a Inevitable Abortion?

A

Cervix Dilated but no tissue passage. Viable pregnancy unlikely

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4
Q

What is a Incomplete Abortion?

A

Cervix Dilated and some tissue passage but not all.

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5
Q

What is a Complete Abortion?

A

Vaginal Bleeding decreased
All POC expelled
Cervix Closed

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6
Q

What is a Missed Abortion?

A

Fetus died with or without spotting
No cervical dilation
Complete retention of POC
Will proceed to full abortion within 1-3 weeks

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7
Q

What is a Septic Abortion?

A

Thretened, inevitable, or incomplete abortion with signs of uterine infection

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8
Q

What are the signs of uterine infection?

A 
Elevated Temp
Leukocytosis
Lower Abd tenderness
Cervical Motion tenderness
Foul Smelling Discharge
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9
Q

What are the causes of Abortion?

A 
Chromosomal Abn 50%
Congenital Anomaly
-Teratogen
-DM
-Trauma
-Anatomic Abn
-Infection
No obvious etiology for many
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10
Q

What are the risk facotrs for miscariage?

A

Inc maternal age
EtOH, Smoking, drug use
Recurrent Preggo Loss
Extremes of weight

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11
Q

How is a miscarriage diagnosed?

A 
Vaginal bleeding and cramping
Dec Signs of preggo
Quant hCG level
Transvaginal US
Sterile Speculum exam
Sterile vaginal exam
Serum Progest
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12
Q

What is included in the DDx of Miscarriage?

A

Ectopic PReggo
Placenta prrevia
Physiologic
Cervical or Vaginal pathology, trauma or infection

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13
Q

What is the Tx of Miscarriage?

A

RhoGAM
Prophylactic Abtx for Surgical Management
Emotional Support
OR: Suction D&C

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14
Q

What are aspects of post D&C Care?

A

Discharge home with Rx for Pain meds, Abtx and Uterotonic

follow up in 10-14 days

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15
Q

What is the Tx of Threatened Miscarriage?

A

Pelvic Rest
Min to no intervention
Follow up in 1 week

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16
Q

What is the Tx of Inevitable and Incomplete Miscarriage?

A

Surgical D&C or D&E
Misoprostol: Prostaglandin => Uterine Bleeding
Expectant management: Most resolve on their own

17
Q

What is the Tx of Missed Miscarriage?

A

Surgical D&C or D&E
Misoprosto
Expectant management: Uterus should be evacuated if profuse bleeding or severe pain
Ind Care Plan

18
Q

What is the Tx of Septic Miscarriage?

A

Vaginal Cultures, chem panel, blood culture, CXR, Coag study
Surgical evac
Broad spectrum IV abtx
IV fluids

19
Q

WHat defines Recurrent Pregnancy loss?

A

3 or more losses prior to 20 weeks

Ectopic, Molar, and Biochem preggos not included

OBGYN 2 (15 decks)

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