Miscarriage Flashcards Preview

Jason's MD3 Women's > Miscarriage > Flashcards

Flashcards in Miscarriage Deck (23):
1

Frequency of miscarriages? %

Around 30%

2

When do most miscarriages occur?

1st trimester, <12 weeks

3

Types of miscarriages that occur?

Threatened
Inevitable
Incomplete
Complete
Missed
Septic
(Recurrent)

4

Missed abortion is discovered how?

Missed period, positive preg. Nothing on U/S. Notice symptoms of preg disappear.

5

Septic miscarriage happens how?

Incomplete miscarriage, but cervical OS is open, necrosis, infection, septic shock

6

Key examination in miscarriage?

Cervix
Uterus

7

Cervix and uterus in threatened miscarriage?

Cervix closed
Uterus small/equivalent for dates

8

Cervix and uterus in inevitable miscarriage?

Cervix: open
Uterus: expectant

9

Cervix and uterus in incomplete miscarriage?

Cervix: open
Uterus: small for dates

10

Cervix and uterus in complete miscarriage?

Cervix: closed if all passed
Uterus : small for dates

11

Cervix and uterus in missed carriage?

Cervix: closed
Uterus: small for dates

12

DDx for miscarriage?

ectopic
Gestational trophoblastic Disease
-molar preg, choriocarcinoma

13

Ectopic rate?

1:100

14

Gestational trophoblastic disease rate?

1:600

15

Most common cause for miscarriage?

Chromosomal abnormality

16

Cause of miscarriage past 12 weeks usually?

Cervical insufficiency "silent miscarriage"

17

Pain in ectopic usually?

Unilateral

18

Miscarriage pain is usually?

Central?

19

Ectopic preg bleeding?

Mostly intraperitoneal
Revealed bleeding: from endometrium (not maintained as bHCG isn't as high, less corpus luteum, 'menses'

20

Ectopic, cervix and uterus description?

Cervix is closed
Uterus is small

21

Cervical excitation in ectopics?

Would be unilateral: If ectopic is on the right and you push cervix to the left, it will worsen the pain as it strains the right Fallopian tube. it lessens the pain if you push cervix to right

22

If pale, blood pressure low and heart rate is LOW. What is the Dx?

Cervical shock - vasovagal from products passing through the OS

23

If pale and BP is low and the heart rate is high. Dx?

Hypovolaemia shock