gestational trophoblastic disease

Question 1

diagnosis of molar pregnancy

Answer 1

hcg levels

trans vag us - snowstorm appearance(complete mole)

Question 2

management

Answer 2

we evacutae the protducts of conception and we follow up to see if hcg levels go down as it could have developed to neoplasia which means these patients reuqire chemo

Question 3

advise them

Answer 3

to not get pregant in the next 3 months ?

Question 4

most common spread of choriocarcnimoam

Answer 4

lungs

Question 5

other places of spread of choriocarcinoma

Answer 5

lungs, vagina ( bleeding) , liver, brain

Question 6

tx of invasive mole

Answer 6

methotrexta or Dactinomycin - chemotherapy agents or if no desire for kids then hydetrectomy

Question 7

tx for choriocarcinoma

Answer 7

chemotheraphy

Question 8

most common form

Answer 8

complete

Question 9

what levels do hcg reach

Answer 9

complte >100,000

incomplete- rarely above normal pregancy levelsl

Question 10

which one is usually as a result of a missed abortion

Answer 10

incomplete

Question 11

what is an incomplete mole associated with

Answer 11

a women have menstarul irregulatiries or oral contraceptive use

Question 12

malignant forms

Answer 12

invasive mole

chroiocarcnioma

Question 13

most common presenting symptom in first trimester of pregnancy- complete molar pregnacy

Answer 13

Abnormal uterine bleeding – most common presenting symptom in first trimester of pregnancy

Question 14

whats a complication you are worried about when evacuating a molar pegancy

Answer 14

Hemorrhage is a frequent complication during the evacuation of a molar pregnancy. For this reason, intravenous oxytocin should be started at the initiation of the suctioning.