Lesson 5 Pt. 2 Flashcards
Treatment of patients with pernicious anemia is undertaken with _______
Parenteral therapy
This deficiency is extremely UNCOMMON during pregnancy
Vitamin B12 Deficiency/ Addison
This is primarily caused by deficiency in oral absorption
Vitamin B12 Deficiency
It occurs most frequently in patients of Scandinavian and Northern European
Autoimmune Atropic Gastritis
Vitamin B12 Deficiency is common between WOMEN ____
30 and 40 years of age
Rare Causes of Vitamin B12 Deficiency
Infection by the fish tapeworm
Chronic conditions such as Crohns Disease
Pernicious or Persistent Vomiting of Pregnancy
Hyperemesis Gravidarum
It is associated with “extreme nausea and vomiting” that is prolonged past week 12 of pregnancy
Hyperemesis Gravidarum
It is associated with H. Pylori
Hyperemesis Gravidarum
It is due to deficiency in Vitamin B
Polyneuritis
In person with Vit. B12 deficiency, urine may be _____ ketones due to breakdown of protein and fat cell growth
Positive (+)
Implantation occured outside the uterine cavity
Ectopic pregnancy
The most common site of ectopic pregnancy is in ______
Fallopian tube
Of the fallopian tubes, approximately __________occurs in the ampulla
80%
How many percent does ectopic pregnancy occur in isthmus?
12%
How many percent does ectopic pregnancy occur in interstitial?
8%
Implantation of a fertilized ovum outside of the uterus
Ectopic pregnancy
Assessment for ectopic pregnancy
Missed period
Spotting, bleeding
Stabbing pain LLQ or RLQ
Shoulder pain
Cullen Sign
Dizziness
Syncope
What is the color of spotting
Dark red or brownish a
Possible signs of hypovolemic shock
Spotting
It is due to rupture of fallopian tube
stabbing pain in llq and rlq
Referred to as shoulder pain
Kehr’s sign
Ecchymotic blueness around the umbilicus indicating blue pooling in the peritonium
Cullen’s sign
Complication of Ectopic Pregnancy
Hemorrhage
Shock
Peritonitis