GYO// HEMORRAGIAS DEL TERCER TRIMESTRE Flashcards

1
Q

Causa más frecuente de hemorragia del tercer trimestre

A

PLACENTA PREVIA

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2
Q

Clínica DE PLACENTA PREVIA

A

SANGRADO ROJO INTERMITENTE E INDOLORO

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3
Q

HAY AFECTACIÓN FETAL EN LA PLACENTA PREVIA?

A

NO

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4
Q

EL TNO UTERINO

A

NORMAL

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5
Q

FACTORES FAVORECEDORES DE PLACENTA PREVIA

A

EMBARAZO MÚLTIPLE, CICATRICES UTERINAS, MULTIPARIDAD, EDAD AVANZADA, TABACO

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6
Q

DIAGNÓSTICO DE PLACENTA PREVIA

A

ECOGRAFÍA, NUNCA TACTO VAGINAL

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7
Q

VIA DE PARTO SI ES UNA PLACENTA PREVIA OCLUSIVA TOTAL

A

CESÁREA

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8
Q

Factores favorecedores del abruptio placentae (DPPNI:

desprendimiento prematuro de placenta normoinserta)

A

Multiparidad, edad avanzada, preeclampsia, traumatismos,
polihidramnios, cortedad del cordón, défi cit de ácido fólico,
tabaco, alcohol, cocaína, hipofi brinogenemia congénita

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9
Q

ClínicaDE abruptio placentae (DPPNI:

A

Sangrado vaginal oscuro + dolor abdominal difuso brusco

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10
Q

10 Estado materno-fetal DEL DPPNI

A

MALO

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11
Q

TONO UTERINO DEL DPPNI

A

AUMENTADO

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12
Q

MANEJO DE DPPNI

A

CESÁREA URGENTE, SALVO SI FETO MUERTO, QUE SE DEJARÁ PARTO VAGINAL

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13
Q

COMPLICACIONES DE DPPNI

A

INSUFICIENCIA RENAL, CID, ÚTERO COUVELAIRE, EMBOLIA LÍQUIDO AMNIÓTICO

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14
Q

Si al romperse la bolsa el líquido amniótico está teñido de

sangre roja y aparece sufrimiento fetal estaremos ante

A

ROTURA DE VASA PREVIA

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15
Q

TRATAMIENTO DEL DPPNI

A

CESÁREA URGENTE

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16
Q

CAUSA MÁS FRECUENTE DE ROTURA ITERINA

A

DEHISCENCIA DE CICATRIZ DE CESÁREA PREVIA

17
Q

CLÍNICA DE LA ROTURA UTERINA

A

HEMORRACIA EXTERMAN ESCASA, ESTADO GENERAL GRAVE, DOLOR INTENSO, ATONÍA UTERINA, SE PALPAN LAS PASTES FETALES

18
Q

TRATAMIENTO DE LA ROTURA UTERINA

A

CESÁREA URGENTE Y REPARACIÓN DE LA ROTURA, SI NO SE PUEDE REPARAR, HISTERECTOMÍA