Ectopic and Molar Pregnancy Flashcards
what is an ectopic pregnancy?
normal embryo implanted out-with the uterus
sites of ectopic pregnancy
fallopian tubes
ovary
peritoneum
presentation of ectopic
unilateral pain bleeding dizziness/ collapse shoulder tip pain SOB haemodynamic instability guarding tenderness
diagnosis of ectopic
FBC G&S (rhesus status) b-hCG (static) TVUS (donut sign) abdominal USS (beware of twin pregnancies)
risk factors for ectopic
previous tubal damage IUCD smoking infertility age
management of ectopic
medical
surgical
medical management of ectopic
methotrexate
what is PUL
pregnancy of unknown location
follow-up required and methotrexate if needed
what is a molar pregnancy?
non-viable fertilised egg due to gestational trophoblastic disease
classification of molar pregnancy
- complete mole
2. partial mole
what is a complete mole?
sperm combines with egg that has lost its DNA and duplicates yielding 46 chromosomes
what is a partial mole?
egg fertilised by 2 sperms or one sperm that duplicates yielding 69XXY
what are complete moles at risk of?
developing into choriocarcinoma (malignant tumour of trophoblasts)
presentation of molar pregnancy
hyperemesis
hyperthyroidism
early onset PET
varied bleeding, passage of grape-like tissue
abdominal pain
SOB (embolization to lungs) and seizure (metastasis to brain)
diagnosis of molar pregnancy
USS snowstorm apperance and frogspawn when expelled +/- theca lutein cysts
