TROPHO ROUNDS Flashcards
ABNORMAL CONCEPTION WITH EXCESSIVE PLACENTAL AND LITTLE OR NO FETAL DEVELOPMENT. GROSSLY, IT RESEMBLES A BUNCH OF GRAPES, WITH OR WITHOUT FETAL COMPONENTS.
HYDATIDIFORM MOLE (HM)
SUBDIVISIONS OF HYDATIDIFORM MOLE
COMPLETE HYDATIDIFORM MOLE (CHM) AND PARTIAL HYDATIDIFORM MOLE (PHM)
THE REPORTED WORLDWIDE INCIDENCE OF HYDATIDIFORM MOLE
1-2 PER 1,000 PREGNANCIES
RISK FACTORS FOR HYDATIDIFORM MOLE
MATERNAL (>40) AND PATERNAL AGE (>45)
REPRODUCTIVE AND OBSTETRIC HISTORY (PREVIOUS HM, NULLIPAROUS, MISCARRIAGE, TWIN PREGNANCY, ARTIFICIAL INSEMINATION BY DONOR)
RACIAL FACTORS
DIET AND NUTRITION (DECREASED DIETARY CAROTENE AND ANIMAL FAT)
THE DIAGNOSIS OF HYDATIDIFORM MOLE IS BASED ON
CLINICAL PRESENTATION SUPPORTED BY TYPICAL ULTRASONOGRAPHIC FINDINGS AND AN ELEVATED B-HCG TITER
CLINICAL PRESENTATION OF HYDATIDIFORM MOLE
AMENORRHEA
POSITIVE PREGNANCY TEST
VAGINAL BLEEDING (89-97%)
UTERINE SIZE MORE THAN THE AGE OF GESTATION (40-50%) AND ABSENCE OF FETAL HEART TONES
THE MOST ACCURATE NONINVASIVE IMAGING MODALITY FOR HYDATIDIFORM MOLE
PELVIC ULTRASOUND