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Pathology > Gestational Pathology (Pathoma) > Flashcards

Gestational Pathology (Pathoma) Flashcards

1
Q

Major ectopic pregnancy risk factor

A

Scarring

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2
Q

Common ectopic pregnancy causes and why?

A

PID and endometriosis

Cause scarring

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3
Q

Ectopic pregnancy presentation

A

Acute, lower quadrant abdominal pain

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4
Q

Spontaneous abortion

Definition and causes

A

Def: Miscarriage of fetus up to 20 weeks of pregnancy
Causes: Chromosomal abnormalities, hypercoagulability, teratogen exposure and congenital infections

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5
Q

Placenta previa

RX:?

A

Preview of the placenta in lower uterine segment

RX: C-section delivery

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6
Q

Placental abruption

A

Separation of placenta from decidua before birth

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7
Q

Example of common cause of still birth

A

Placental abruption

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8
Q

Placenta accreta

Defintion, presentation and RX

A

Attachment of placenta to MYOMETRIUM
Pres: Difficult delivery, postpartum bleeding
Rx: Hysterectomy

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9
Q

Preeclampsia

A

3rd trimester pregnancy-induced hypertension+proteinuria+edema

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10
Q

Eclampsia definition

A

Preeclampsia +seizures

Preeclampsia= proteinuria+HTN+ Edema

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11
Q

HELLP

A

H-Hemolysis
EL- Elevated Liver enzymes
LP- Low Platelet count

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12
Q

SIDS

A

Death within 1 month to 1 year without cause

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13
Q

What is a baby who dies from SIDS typically doing when they pass away?

A

Sleeping

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14
Q

SIDS risk factors

A

Sleeping on stomach
Smoking in household
Prematurity

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15
Q

Hydatidiform Mole definition

A

Abnormal conception of swollen and edematous villi with proliferation of trophoblasts

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16
Q

Hydatidiform mole presentation

A

Betas higher than gestational age+ Enlarged uterus

+Grapelike masses(villi) from vagina

17
Q

Hydatidiform mole Dx

A

No heart sounds in early 1st trimester

“Snow-storm” appearance on US

18
Q

Hydatidiform mole Rx

A

D&C+ recheck Betas

19
Q

Complete hydatidiform mole

A

2 sperm+ empty ovum
Diploid, ALL edematous villi
Higher Betas
Complete risk of choriocarcinoma

20
Q

Partial hydatidiform mole

A 
Tripoidy
2 sperm+1 ovum
Some villi are hydropic
Lower Betas than in complete hydatidiform mole
Minimal risk for choriocarcinoma
21
Q

Choriocarcinoma

A

Tumor of trophoblasts and synctiotrophoblasts

No villi

22
Q

2 ways of getting choriocarcinomas

A

As a germ cell tumor or as a complication of gestation

23
Q

Which of the 2 types of choriocarcinomas responds to chemo?

A

Gestational pathway responds but germ cell pathway does not.

Pathology (9 decks)

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