Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

STEP 2 OBGYN > UW abortions 12-13 (1) > Flashcards

UW abortions 12-13 (1) Flashcards

1
Q

UW table. Spontaneous. Definition?

A

pregnancy loss < 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

UW table. Spontaneous. Risk factors? 3

A

Advanced maternal age;
Previous spontaneous abortion;
Substance abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

UW table. Spontaneous. Tx options?3

A

Expectant
Medical induction (misoprostol)
Suction curettage if infection or HD instability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

UW table. Spontaneous. Additional management? 2

A

Rho (D) immune globulin
Pathology examination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

UW table. Spontaneous. Complications? 5

A

Hemorrhage
Retained products of conception
Septic abortion
Uterine perforation
Intrauterine adhesions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Common cause of 1st/2nd trim bleeding?

A

Spontaneous abortion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

UW additional text. Spontaneous. Presentation? 4

A

Heavy vaginal bleeding
Cramping
Dilated cervix
Nonviable intrauterine gestation in the lower segment of uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

UW additional text. Spontaneous. Tx if HD stable?

A

Expectant management
Misoprostol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

UW additional text. Spontaneous. Tx if HD unstable?

A

Suction curettage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

UW abortu fotkes. Inevitable (spontaneous) CP?

A

vaginal bleeding
dilated cervical os
products of conception may be seen or felt at or above cervical os

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

UW additional text. Missed abortion. onset?

A

intrauterine pregnancy demise at < 20 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

UW additional text. Missed abortion. risk factors?

A

advanced maternal age (due to incr. of fetal chromosomal abnormalities)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

UW additional text. Missed abortion. presentation?

A

Asymptomatic
decreased pregnancy symptoms (nausea, breast tenderness)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

UW additional text. Missed abortion. physical examination? 2

A

Closed cervix
No bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

UW additional text. Missed abortion. UG findings?

A

a) Embryo without cardiac activity
b) Empty gestational sac without fetal pole. (some early pregnancies can present without a fetal pole. Hence viability is determined by serial ultrasounds and serial b-hCG levels). Repeat b-hCG normally increase until the end of first trimester but in case of missed abortion, decreasing levels are seen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

UW abortu fotkes. Missed abortion. Cp3

A

No vaginal bleeding
Closed cervical os
NO FETAL CARDIAC ACTIVITY or empty sac

17
Q

UW additional text. Complete abortion. risk factors? 3

A

Cocaine, alcohol, tobacco

18
Q

UW additional text. Complete abortion. presentaton? 2

A

Lower abdominal pain
Heavy vaginal bleeding with passage of clots at < 20 weeks gestation

19
Q

UW additional text. Complete abortion. examination?

A

closed cervix

20
Q

UW additional text. Complete abortion. Diagnosis? 2

A

Ultrasonography (empty uterus; normal adnexa)
b-hCG positive because it can take up to 6 weeks for b-hCG to become undetectable

21
Q

UW abortu fotkes. Complete abortion. CP3?

A

vaginal bleeding
closed cervical os
products of conception COMPLETELY EXPELLED

22
Q

UW additional text. Threatened abortion. features? 4

A

Closed cervix
viable intrauterine gestation
vaginal bleeding
SUBCHORIONIC HEMATOMA

23
Q

UW abortu fotkes. Threatened abortion. cp3?

A

vaginal bleeding
closed cervical os
FETAL CARDIAC ACTIVITY

24
Q

UW abortu fotkes. Incomplete abortion. 3cp?

A

Vaginal bleeding
dilated cervical os
some products of conception expelled and some remain

25
Q

UW table. Septic abortion. risk factors? 3

A

Retained products of conception from:
a) elective abortion with nonsterile technique
b) Missed or incomplete abortion (rare)

26
Q

UW table. Septic abortion. CP? 4

A

Fever, chills, abdominal pain
Sanguinopurulent vaginal discharge
Boggy, tender uterus, dilated cervix
Pelvic UG: retained POC, thick endometrial stripe

27
Q

UW table. Septic abortion. management? 3

A

IV fluids
broad spectrum antibiotics
suction curettage

28
Q

UW additional text. Septic abortion. Note about hysterectomy?

A

Not indicated.
it is indicated in following case:
a) Pelvic abscess;
b) if the patient does not improve after suction curretage and 48h of broad spectrum abs

29
Q

UW additional text. Septic abortion. Note about misoprostol?

A

misoprostol causes uterine contractions and expels products of conception for spontaneous abortion. However, it is not used for septic abortion because of slow onset of action

30
Q

paveiksliukai.

A
31
Q

paveiksliukai.

A
32
Q

paveiksliukai.
No vaginal bleeding
Closed cervical os
NO FETAL CARDIAC ACTIVITY or empty sac

which one?

A

Missed abortion

33
Q

paveiksliukai.
Vaginal bleeding
Closed cervical os
FETAL CARDIAC ACTIVITY

which one?

A

Threatened abortion

34
Q

paveiksliukai.
Vaginal bleeding
Dilated cervical os
Products of conception may be seen or felt at or above cervical os

which one?

A

Inevitable abortion

35
Q

paveiksliukai.
Vaginal bleeding
Dilated cervical os
Some products of conception expelled and some remain

which one?

A

Incomplete abortion

36
Q

paveiksliukai.
Vaginal bleeding
Closed cervical os
Products of conception COMPLETELY expelled

which one?

A

Complete abortion

STEP 2 OBGYN (21 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions