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AB 3rd Year Repro > Miscarriage + Termination of Pregnancy > Flashcards

Miscarriage + Termination of Pregnancy Flashcards

1
Q

what is a molar pregnancy?

A

pre malignant tumour of trophoblastic villi (placenta)

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2
Q

why does a molar pregnancy happen?

A

implanted non viable fertilised egg

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3
Q

what is a complete mole?

A

egg with no DNA

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4
Q

what is a partial mole?

A

haploid egg, fetus may be present

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5
Q

what is a risk of a complete mole?

A

choriocarcinoma

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6
Q

features of a molar pregnancy?

A 
bleeding
grapelike tissue
SOB (PE)
fundus > dates
extreme morning sickness
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7
Q

what are the two Ix for molar pregnancy and their results?

A

pregnancy test - strongly +ve

US - snowstorm appearance

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8
Q

Tx for molar pregnancy?

A

surgery
MTX
anti D

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9
Q

how long should pregnancy be avoided for after a molar pregnancy?

A

1 year

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10
Q

what is an ectopic pregnancy?

A

when fertilised ovum implants outside the uterine cavity

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11
Q

most common location of ectopic?

A

ampulla

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12
Q

features of ectopic pregnancy?

A 
abdo pain
bleeding
dizzy
diarrhoea
vomiting
shoulder tip pain
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13
Q

Ix for ectopic?

A

beta HCG
FBC
US

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14
Q

Tx for a ectopic with shock/bleeding?

A

laparotomy

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15
Q

what is medical Tx for ectopic? what is criteria?

A 
MTX
no pain
unruptured
decreased HCG
no IU pregnancy
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16
Q

what is 2 other types of management for ectopic?

A

surgery

conservative

17
Q

what is a miscarriage?

A

loss of pregnancy <24wks gestation

18
Q

what is a threatened miscarriage? is os open/closed?

A

bleeding and cramping but pregnancy continues

os closed

19
Q

what is an incomplete miscarriage? os open/closed?

A

part of pregnancy is lot

os open

20
Q

what is an early fetal demise?

A

pregnancy in situ but no heartbeat

21
Q

features of a miscarriage?

A

bleeding
cramping
suprapubic/lower back pain
passing fetus/blood/blood clots

22
Q

what is a complete miscarriage?

A

all of pregnancy is lost

23
Q

Ix for a miscarriage?

A

pregnancy test
FBC
Rhesus blood group
TVUS

24
Q

management options for a miscarriage?

A

conservative
medical
surgical

25
Q

what is the medical Tx of a miscarriage?

A

mifepristone

24-48 hrs later misoprostol

26
Q

when is anti D given?

A

rhesus -ve and threatened miscarriage >12 wks

within 72hours

27
Q

what is counted as recurrent miscarriage?

A

3 or more before 24wks gestation

28
Q

causes of recurrent miscarriage?

A

thrombophilia
anti phospholipid syndrome
chromosomal abnormality

29
Q

when can TOP be done until?

A

24 weeks

30
Q

when can MVA be done?

A

6-12 weeks

31
Q

when can medical TOP be done?

A

9-24wks

32
Q

when can D+C be done for TOP?

A

13-24wks

not in scotland

AB 3rd Year Repro (27 decks)

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