Bleeding In Early Preg Flashcards
(22 cards)
Hartman’s sign
bleeding due to the embryo implanting in the uterine lining In early pregnancy
MC cause of early bleeding
Abortion
MC cause of threatened abortion
CL insufficiency
MC cause of missed abortion
Chromosomal abnormalities
Drug cause spont abortion of maternal cause
Anti phospholipid
Apl ś laboratory criteria
1)ACA
2)LAC
3)anti B glycoprotein
Apl ś TTT
LMW heparin(daily)+Low dose aspirin
Asherman ś
Smaller uterus due to adhesions or scars
Asherman ś triad
Amenorrhea (lack of menstrual periods)
Repeated miscarriages.
Infertility
Types of cervical cerclage
1)vaginal →McDonald,modified shirodkam(bladder is dissected)
2) abdominal
Insertion time of cervical cerclage
12-14w
Most common cause of abortion in 1st
Trimester
Aneuploidy[could be embryonic or an embryonic]
Bacterial vaginosis is related to what trimester abortion??
2nd trimester
Masses related to abortions
• Submucous Fibroid.
- Endometrial polyp.
Termination of pregnancy medical
Medical treatment:
1. Prostaglandin E1 analogue
2.Methotrexate.
3.Mifepristone (antiprogesterone) .
Termination of pregnancy[surgical]
A. First trimester:
Dilatation and evacuation.
Vacuum aspiration.
B. Second trimester:
Intrauterine balloon catheter.
Hysterotomy.
1st warning sign of ectopic pregnancy
Pain or bleeding
Ring of fire on Doppler
2]Serum b hcg start to appear at??
Sign of adnexal mass may appear with ectopic pregnancy
2] above 2000miu
DD of ectopic pregnancy
Threatened abortion
PID
Ovarian cyst
Acute appendicitis
Snowstorm appearance
US feature of complete mole
[mixed echogenecity, representing hydropic villi and intrauterine haemorrhage. Large theca lutein cysts.]
Snowstorm appearance
US feature of complete mole
[mixed echogenecity, representing hydropic villi and intrauterine haemorrhage. Large theca lutein cysts.]
GTN TTT
• Combination therapy like EMA-CO, which includes etoposide,
methotrexate, actinomycin D, cyclophosphamide, and Oncovin
(vincristine) is used in high-risk cases.
