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HRR 4 > Pregnancy loss > Flashcards

Pregnancy loss Flashcards

1
Q

Threatened abortion- Eti

A
  • Bleeding from uterus before 20th wk
  • 25% with sig bleeding
  • Age, hx of SAB, infection, anatomic malformation, aneuploidy
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2
Q

Threatened abortion- Sx

A

1st trimester bleeding

  • +/- pain/ cramping
  • No cervical dilation
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3
Q

Threatened abortion- Dx

A
  • Transvag US
  • hCG
  • CBC (anemia)
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4
Q

Threatened abortion- Tx

A
  • Acetaminophen
  • Rhogam
  • Evacuation of pregnancy
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5
Q

Incomplete abortion- Eti

A
  • Partial or complete separation of placenta, dilation of cervix, passage of some on products of contraception
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6
Q

Incomplete abortion- Sx

A

Severe cramping & heavy bleeding

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7
Q

Incomplete abortion- Dx

A
  • Transvaginal US

- Irregular gestational sac

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8
Q

Incomplete abortion- Tx

A
  • Curretage

- Misoprostol

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9
Q

Inevitable abortion- Eti

A
  • Rupture of amniotic membrane
  • Bleeding with cervial delation
  • Products of contraception still in uterine cavity
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10
Q

Inevitable abortion- Sx

A
  • Bleeding and gush of fluid

- Back or abd cramping

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11
Q

Inevitable abortion- Tx

A
  • 48 hr obs
  • Bed rest
  • If bleeding, cramping, fever immediate evacuation
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12
Q

Missed abortion- Eti

A
  • Pregnancy retained in uterus after fetal demise

- Closed cervix

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13
Q

Missed abortion- Sx

A
  • Asymptomatic

- Some bleeding or cramping

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14
Q

Missed abortion- Dx

A

hCG & CBC

- Ultrasound to confirm fetal demise

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15
Q

Missed abortion- Tx

A
  • Curettage

- Misoprostol

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16
Q

Complete abortion- Eti

A
  • All products of contraception pass and cervix closed
17
Q

Complete abortion- Sx

A
  • Slight bleeding & cramping

- May last weeks

18
Q

Complete abortion- Dx

A

hCG, CBC, US

- Empty uterus with thin endometrial lining

19
Q

Complete abortion- Tx

A

Curettage, misoprostol

20
Q

Septic abortion- Eti

A
  • Intrauterine infection involving endometrium & products of contraception
  • Endometritis from ascending bacterial infection or retained products of contraception
21
Q

Septic abortion- Sx

A

Fever, chills

  • Abd pain
  • Bleeding with malodorous discharge
22
Q

Septic abortion- Dx

A
  • CBC, hCG

- UA, US, Abd x-ray to r/o perforation

23
Q

Septic abortion- Tx

A

IV abx

- D & C

HRR 4 (19 decks)

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