1st Trimester Conditions Flashcards Preview

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Flashcards in 1st Trimester Conditions Deck (47)
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1

Differentials for ______: miscarry, ectopic, molar, chorionic haematoma, implantation bleed, UTI, hemorrhoid, bowel malignancy, chlamydia, gonococcus, cervical polyp, trichomoniasis, BV, forgotten tampon

1st trimester bleeding

2

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

3

What is the management of implantation bleeding/

Watchful waiting

4

What is the pathology of a chorionic haematoma?

Blood between endometrium and embryo

5

Chorionic haematomas are not associated with miscarriages. T or F

False, cause a threatened miscarriage

6

Chorionic haematomas are usually self-limiting. T or F

True

7

How do chorionic haematomas present?

1st trimester bleeding + cramping

8

Bleeding in early pregnancy is before what week gestation?

24

9

Listeria, rubella, toxoplasmosis and CMV all have what in common in relation to the 1st trimester?

Can cause miscarriages

10

What chronic systemic conditions can cause in miscarriages?

APS, SLE

11

What is the general pathology of miscarriages?

Placenta / chorion bleeding or dysfunction causes fetal hypoxia and/or demise

12

What is the commonest PC in miscarriages?

Cramp

13

What investigations are done for a patient in her 1st trimester presenting with a suspected miscarriage?

Speculum to classify
US (see empty uterus)

14

What is the classification of miscarriages?

Threatened
Inevitable
Incomplete
Complete
Early fetal demise
Anembryonic

15

What is a threatened miscarriage?

Os closed

16

What is an inevitable miscarriage?

Products sited at open os

17

What is an incomplete miscarriage?

Part lost already

18

What is a complete miscarriage?

Uterus empty, products in vagina

19

What is an anembryonic miscarriage?

No fetus, empty sac

20

How many miscarriages has a women had for them to be referred to as recurrent miscarriages?

3

21

What is the management of a miscarriage?

Assess haemodynamic stability, FBC, G&S

22

What tests are done for recurrent miscarriages?

Anti-cardiolipin Ab
B2-glycoprotein
Homocysteine
Karyotype

(For SLE, APS)

23

What is an ectopic pregnancy?

Implantation occurs out with uterus

24

What is the commonest location of ectopics?

Ampulla

25

Is bHCG positive in ectopics?

Yes

26

What is the risk in ectopics and is it common?

Rupture causes potentially fatal haemorrhage
Common

27

How does an ectopic present?

Dull ache - stabbing abdo pain
Bleeding
Shoulder tip pain
Rupture

28

How does an ectoptic pregnancy rupture present?

Haemodynamic instability
Acute abdo peritonism
Dizzy / collapse

29

What is the management of an unruptured ectopic with low bHCG levels?

Methotrexate

30

What condition of the 1st trimester is referred to as trophoblastic disease?

Molar pregnancy