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ENARM > Hemorragias 3er Trimestre. > Flashcards

Hemorragias 3er Trimestre. Flashcards

1
Q

Clínica de placenta previa.

A

Hemorragia rojo rutilante indolora sin alteracion en tono uterino.

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2
Q

Estudia de elección en acretismo placentario.

A

USG Doppler.

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3
Q

Tx de acretismo placentario.

A

Cesarea+ Histerectomía.

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4
Q

Clínica de DPPNI/ Abruptoplacentae.

A

Hemorragia oscura+ dolor abd+ hipertonía uterina.

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5
Q

Estudio de elección en DPPNI

A

USG transvaginal.

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6
Q

Hallazgo USG en DPPNI.

A

Hematoma retro placentario.

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7
Q

Tx de elección en DPPNI.

A

Cesárea urgente.

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8
Q

Diferencia entre DPPNI y RU.

A

Polisistolia.

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9
Q

Placenta Succenturiata.

A

Multiloculada.

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10
Q

% de riesgo a padecer acretismo placentario por 1 cesárea.

A

3%

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11
Q

1CID en embarazo.

A

Acretismo placentario.

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12
Q

Tx de rutura uterina

A

Laparotomía+ Cesárea.

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13
Q

Dx rutura uterina.

A

Laparotomía

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14
Q

Primera causa de sangrado en 3er trimestre.

A

Placenta Previa.

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15
Q

Porcentaje de asociación a acretismo placentario.

A

60%

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16
Q

Dx inicial de placenta previa.

A

Especuloscopia.

17
Q

Tamizaje placenta previa.

A

USG en 20 SDG (menor a 2 cm o 20 mm).
Confirmar en 32 SDG.

18
Q

Dx elección PP.

A

USG transvaginal.

19
Q

Tx hallazgo en USG PP.

A

Programar cesárea 34-37 SDG.
En inestabilidad fetal/materna= cesárea urgente.

20
Q

Tx c/ sangrado de PP.

A

Inicial.- Estabilización + ABCD.
Si 24-34 SDG= Maduración pulmonar.
36<SDG= Interrupción del embarazo.

21
Q

Acreta, Increta, Percreta.

A

Alcanza, Invade, Penetra.

22
Q

Primera causa de hemorragia del 3er trimestre.

A

PP.

23
Q

Primera causa de hemorragia intraparto.

A

DPPNI.

24
Q

FR DPPNI.

A

Estados hipertensivos.
Cocaína y Tabaquismo.
Multiparidad
Alfafetiproteina aumentado en 2do trimestre.

25
Q

Tx inicial DPPNI.

A

ABCD.

26
Q

Tx elección DPPNI.

A

Cesárea urgente.

27
Q

Tx Rutura uterina.

A

Laparotomía+ Cesarea urgente.

28
Q

Utero de Couvalaire.

A

Infiltración sanguínea hacia el miometro.

29
Q

Porcentaje de riesgo de padecer acretismo placentario con C3.

A

40%

ENARM (27 decks)

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