sangramento de 2 metade Flashcards

1
Q

DPP

A

SFA
hemorragia escura
dor: sim
DX: clinico

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2
Q

placenta previa

A

hemorragia viva de REPETICAO
Nao faz TOQUE VAGINAL
DX: US ( 28 sem )
solicita Cardiotoco

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3
Q

rotura uterina

A

SFA
hemorragia viva e UNICA
dor: intensa
DX: clinico

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4
Q

DPP com feto vivo

A
  • CESAREA : parto nao inminente
    -VAGINAL :inminencia de parto
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5
Q

DPP com feto morto

A

-estavel: VAGINAL
-instavel: CESAREA

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6
Q

utero de couvelaire ( complicacao de DPP)

A

massagem uterina + ocitocina ou miso
-falhou: rafia de B- Lynch
-falhou de novo: ligadura da a. hipogastrica ou uterina
-ultima recurso : HISTERECTOMIA

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6
Q

classificacao de PP

A

marginal: nao obstrui ( VAGINAL )
parcial: VAGINAL se nao sangra muito
total: CESAREA

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7
Q

TIPOS DE ACRETISMO PLACENTARIO ( rnm )

A

-acreta : endometrio ( EXTRACAO MANUAL )
-increta: miometrio ( histerectomia )
-percreta: serosa ( histerectomia )

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8
Q

FR para DPP

A

Pre eclampsia
Tabagismo
Polidramnio

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8
Q

sinal de bandl-frommel

A

IMINENCIA DE rotura uterina ( cesarea)
-bandl: utero em ampulheta
-frommel: ligamento redondo tensionado

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9
Q

sinal de clark e reasens

A

ROTURA CONSUMADA ( HISTERECTOMIA )
-clark : CREPTACAO abdomianal e ENFISEMA
-reasens : FETO SOBE

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10
Q

FR de PP

A

PP previa
Tabagismo
CESAREA
CX previas
>35a

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