Flashcards in 1st Trimester Conditions Deck (47)
Differentials for ______: miscarry, ectopic, molar, chorionic haematoma, implantation bleed, UTI, hemorrhoid, bowel malignancy, chlamydia, gonococcus, cervical polyp, trichomoniasis, BV, forgotten tampon
1st trimester bleeding
Implantation bleeding occurs _____ days post ovulation, is of a _____ amount, is _____ colour and occurs [is/isn't] associated with the normal S+S of pregnancy
Implantation bleeding occurs 10 days post ovulation, is of a SMALL amount, is BROWN colour and occurs IS associated with the normal S+S of pregnancy
What is the management of implantation bleeding/
What is the pathology of a chorionic haematoma?
Blood between endometrium and embryo
Chorionic haematomas are not associated with miscarriages. T or F
False, cause a threatened miscarriage
Chorionic haematomas are usually self-limiting. T or F
How do chorionic haematomas present?
1st trimester bleeding + cramping
Bleeding in early pregnancy is before what week gestation?
Listeria, rubella, toxoplasmosis and CMV all have what in common in relation to the 1st trimester?
Can cause miscarriages
What chronic systemic conditions can cause in miscarriages?
What is the general pathology of miscarriages?
Placenta / chorion bleeding or dysfunction causes fetal hypoxia and/or demise
What is the commonest PC in miscarriages?
What investigations are done for a patient in her 1st trimester presenting with a suspected miscarriage?
Speculum to classify
US (see empty uterus)
What is the classification of miscarriages?
Early fetal demise
What is a threatened miscarriage?
What is an inevitable miscarriage?
Products sited at open os
What is an incomplete miscarriage?
Part lost already
What is a complete miscarriage?
Uterus empty, products in vagina
What is an anembryonic miscarriage?
No fetus, empty sac
How many miscarriages has a women had for them to be referred to as recurrent miscarriages?
What is the management of a miscarriage?
Assess haemodynamic stability, FBC, G&S
What tests are done for recurrent miscarriages?
(For SLE, APS)
What is an ectopic pregnancy?
Implantation occurs out with uterus
What is the commonest location of ectopics?
Is bHCG positive in ectopics?
What is the risk in ectopics and is it common?
Rupture causes potentially fatal haemorrhage
How does an ectopic present?
Dull ache - stabbing abdo pain
Shoulder tip pain
How does an ectoptic pregnancy rupture present?
Acute abdo peritonism
Dizzy / collapse
What is the management of an unruptured ectopic with low bHCG levels?