REPRO 7 Flashcards
(46 cards)
causes for bleeding in early pregnancy
molar pregnancy miscarriage implantation bleeding chorionic haematoma cervical, vaginal ectopic PR bleeding polyp
miscarriage os closed
os opened
threatened
inevitable
types of miscarriage
threatened, inevitable, complete/incomplete, silent (IUD)
treatment of miscarriage
if threatened - conservative
is others - medical/surgical
ectopic pregnancy where
tubes, ovary, peritoneum, liver, cervix, cs scar, PUL
symptoms of ruptured ectopic pregnancy
collapse pain > bleeding SOB dizzy shoulder tip pain peritonism - guarding and tender
ix for ectopic
FBC, group and save, HCG - double in 48 hours, cervical excitation
treatment of ectopic
surgery if rupture/collapse
other methotrexate
molar pregnancy what is it
gestational trophoblastic disease - overgrowth in placental tissue with chorionic villous swollen with fluid - grape like
complete molar pregnancy genetics
is there a risk
egg without maternal DNA YY/Y
2.5 % risk of choriocarcinoma
incomplete moral pregnancy genetics
is there a risk
haploid egg XYY may have fetus
no risk of cancer
symptoms of molar pregnancy
exaggerated pregnancy symptoms to due increased HCG. varied bleeding and passage of grape like tissue. large for dates. SOB
USS of molar pregnancy
snowstorm
treatment for molar
surgical
tissue for histology
implantation bleeding when
what does it look like
what can is be mistaken for
10days post ov
light browinish
occasionally mistaken for period
what is a chorionic haematoma
pooling of blood between endometrium and embryo due to separation - subchorionic
symptoms of chorionic haematoma
large
bleeding, cramps, threatened misc
infection, irritability, cramps, miscarriage
treatment of chorionic hamatoma
self limiting if small
large - reassure and survey
APH is when
bleeding >24 weeks
causes of APH
placental abruption, placenta praaevia, vasa praevia, placenta accepta, uterine rupture, local causes
40% idiopathic
commonest cause of APH
abruption
risks for placental abruption
PET, htn, trauma, smoking, amphetamines (cocaine), medical, polyhydraminos, multiple pregnancy, preterm, PROM, abnormal placenta
complication of PA
DIC
uterine tender/wooden hard and difficult to feel fatal parts
PA
