Sangramento 1o tri Flashcards

1
Q

gravidez ectopica

-clinica

A
  • sangramento em borra de cafe

- dor em fosse iliaca

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2
Q

gravidez ectopica rota

-clinica

A
  • peritonite
  • sinais choque
  • dor ao TV (s. douglas)
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3
Q

gravidez ectopica

-dx

A
  • USTV com anel tubario/massa anexial

- BHCG>1500

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4
Q

gravidez ectopica

-conduta

A
  • BHCG<1500 : repete em 48h
  • gestacao inicial: metotrexate
  • ectopica rota: salpingectomia
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5
Q

gravidez ectopica -

-fatores risco (4)

A
  • gestacao ectopica previa
  • DIU
  • laqueadura
  • DIP
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6
Q

3 causas sangramento 1o tri

A
  • abortamento
  • gravidez ectopica
  • doenca trofoblastica gestacional
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7
Q

doenca trofoblastica

-clinica

A
  • eliminacao hidropsias com sangue

- AU nao compativel IG

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8
Q

doenca trofoblastica

-dx

A
  • US: imagem em floco de neve

- mola completa: sem embriao sem SG

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9
Q

doenca trofoblastica

-conduta

A
  • amiu
  • acompanhar queda BHCG
  • ACO por 1 ano
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10
Q

abortamento

-definicao

A
  • IG<20s

- PN<500g

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11
Q

4 principais causas abortamento

A
  • alteracoes cromossomicas
  • II
  • SOP
  • s. antifosfolipideo
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12
Q

abortamento ..?

  • sangramento
  • colo fechado
  • USTV: embriao com BCF e SG
A

ameaca de abortamento

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13
Q

abortamento. ..?
- sangramento
- colo aberto, dilatado, fino
- USTV: hematoma retrocorial

A

abortamento inevitavel

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14
Q

abortamento. ..?
- sangramento
- colo aberto
- USTV:endometrio >15mm, restos ovulares, sem embriao

A

abortamento incompleto

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15
Q

abortamento. ..?
- sangramento
- colo fechado
- USTV:endometrio <15mm

A

abortamento completo

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16
Q

abortamento habitual

A

+ 3 abortos espontaneos consecutivos

-investigar concepto

17
Q

colo aberto

-tipo de abortamento (2)

A
  • aborto inevitavel

- aborto incompleto

18
Q

colo fechado

-tipo de abortamento (3)

A
  • ameaca de abortamento
  • aborto completo
  • aborto retido
19
Q

indicacao uso de AMIU

- IG?

A
  • IG < 12 semanas
20
Q

doenca trofoblastica

-complicacao pos mola completa

A

neoplasia trofoblastica maligna

coriocarcinoma

21
Q

USTV com SG visualizavel

-valor BHCG> ??

A

BHCG> 2000

22
Q

USTV com BCF

-IG ?

A

IG >6s