Flashcards in Septic Abortion Deck (9)
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Septic abortion?
Any type of abortion associated with uterine infection
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Signs of septic abortion?
1. Uterine bleeding/spotted in the first trimester
2. Infection signs - Fever, WBC >10,500
3. Abdominal tenderness, cervical motion tenderness,
4. foul-smelling vaginal discharge
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Organisms responsible for septic abortion?
Organisms less likely to be isolated?
Polymicrobial – anaerobic strep, Bacteriodies, E. coli, GBS
Clostridium perfringens, H influenza, Campylobacter
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Mechanism for infection in septic abortion?
Ascending infection from the vagina to cervix to endometrium to myometrium to parametrium to peritoneum
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Treatment of septic abortion?
1. Maintain blood pressure
2. Monitor blood pressure, O2 sat, urine output
3. Start antibiotics (gentamicin + clindamycin)
4. Curettage
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Antibiotic regimens for septic abortion?
1. Gentamicin + clindamycin
2. Cephalosporins OR penicillins + beta-lactamase inhibitors
3. Metronidazole + ampicillin + aminoglycoside
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Timing of curettage?
Four hours after antibiotics are begun
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Why observe urine output?
Oligoria is early sign of septic shock
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