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67 Cards in this Set
- Front
- Back
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The termination of a pregnancy from natural causes at less then 20 weeks.
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SAB
Spontaneous ABortion |
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What does FDIU stand for?
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Fetal demise in Utero
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A.k.a "Anembryonic" or "blightened Ovum"?
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Spontaneous Abortion
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An abortion in progress with severe cramping.
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Inevidible Abortion
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Get bleeding & cramping causing 75% of AB's before the 16th week.
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SAB
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All POC have been expelled during this type of AB from the Uterus.
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complete abortion
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Most common sign for a 1st trimester Abortion.
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Subchorionic hemorrhage (SCH) or Implantation bleeding.
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Begins with the hemorrhage from the decidual basalis layer causing a detachement of conceptus.
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SAB
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Cramping or bleeding w/o passage of tissue in a pregnancy less then 20weeks.
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Threatened ABortion
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This event occurs 1-3 weeks after embryonic death.
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Spontaneous Abortion
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What are the main causes of SAB?
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Hormonal, Muellerian defects, Chromosomal, OR unknown.
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1/2 of this type of abortion will end in miscarraige?
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Threatened AB
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Has decreasing HcG levels and the cause is due to chromosomal abnormalities:
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Threatened AB
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Often seen but cannot be diagnosed by u/s in the 1st trimester?
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SCH
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Type of AB has closed cervix.
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Threatened & complete
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What describes a hemorrhage w/in decidua basilis surrounding a gestational sac?
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Subchorionic hemorrhage
(SCH) |
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What is AMA?
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Advanced Maternal Age,. have more bleeding during pregnancy so should be monitored more often.
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Often mistaken for twins & most common during the 1st 2 months of pregnancy.
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Subchorionic Bleed
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The presence of an embryo w/in the UT, but w/out cardiac activity.
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Missed Abortion
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Irregular shaped sac, get d&c once HcG starts lowering since pregnancy is no longer processing.
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Missed AB
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Opening of the cervical os, continuation of bleeding with thinning & dilating cervix.
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Inevidable AB
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Irregular shaped sac, fetus not well defined,.. eventually get a D&C since pregnancy not progressing.
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Missed AB
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Normal appearing Gestational sac surrounded by crescent-shaped fluid collection w/varying echogenicities.
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Subchorionic hemorrhage or "Implantation Bleeding"
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Type of AB that has a thin & dilated cervix.
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Inevitable & Incomplete AB's
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What type of AB is another name for "Embryonic Demise"?
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Missed AB
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"Collapsed" looking gestational sac with SCH seen in LUS/ Cervix.
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Inevidible AB
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This type of AB has slowly decreasing HcG levels.
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Incomplete AB
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Patient bleeding 7 or more days it's most likely this type of AB?
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Inevidible AB
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This type of abortion has RAPIDLY increasing HcG levels.
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Complete AB
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Heavy bleeding w/cramps but no pain & tissue is echogenic on u/s.
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Complete AB
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What is a Trophoblastic REaction?
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A thikcening endometrium 3 days after a spontaneous abortion.
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A thin & dilated cervix, slowly decreasing HcG & air bubbles seen on u/s,.. what type of AB has occured?
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Incomplete
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Spotting, cramping, decreased Hcg indicates what type of AB>
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Threatened
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A thick clean endometrium and rapidly decreasing HCG indicates what type of AB?
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Complete AB
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SCH, Bleeding, collapsed GS with severe cramping is what type of AB?
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Inevitable ABortion
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A uterus that has decreased in size with brownish vaginal discharge indicates what type of AB?
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Missed
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A presence of a gestational sac w/in the uterus where the embryo has failed to develop.
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Anembryonic Pregnancy or "blightened Ovum"
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This type of Ectopic pregnancy causes fluid collection in Morrison's pouch.
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Adnexal Ectopic Pregnancy
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Another name for anembryonic pregnancy and sponaneous abortion?
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Blightened Ovum
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What is another name for Ectopic Pregnancy?
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Extrauterine Pregnancy
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Invasion of trophoblastic tissue within the fallopian tube?
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Ectopic
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The Classic "triad" are symptoms for what type of condition? And what are they?
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Ectopic Pregnancy,.. bleeding, pelvic pn, & adnexal mass
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What would cause the incidince of Ectopics to increase in a pregnancy?
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STD's and PID, surgery, fertility drugs, IUD's
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How long can an ectopic grow until it ruptures? Where is fluid seen once this occurs.
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8-9 weeks -- "morrison's pouch" btwn kidney & liver
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What are the 4 types of Adnexal Ectopic Pregnancies & which is the most prevalent?
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Fibrial, Isthmic, Ampullary, & Interstitial/coronal. Ampullary & Isthmic are the most likely.
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This doesn't contain a yolk sac or living embryo and are centrally located in the endometrium.
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Psuedogestational sac
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A life threatning condition responsible for 10% of maternal deaths related to pregnancy.
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Ectopic pregnancy
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What is the most life threatening Ectopic?
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Coronal -- "interstitial"
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What are the 8 causes of ectopic pregnancies?
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History PID, prev tubal preg, history AB's, IUD's, Ovulation induction, endometriosis, prev ectopic, DES exposure
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What is the least likely type of uterine ectopic to occur & what is it's primary risk factor?
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Cervical UT ectopic; 1 in 16,000. A d&c is the greatest risk factor for cervical UT ectopic pregnancies
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Which ectopic usually has Oligohydra? What is this?
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Abdominal Ectopic, too little amniotic fluid.
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This ectopic is the most difficult to see since it's so vascular, it doesn't seperate from the uterus, & is treated with hysterectomy.
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Coronal Uterine Ectopic
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What fills the majority of the cranium in the 1st trimester?
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Choroid Plexus
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What fetal abnormalites can be diagnosed in the 1st trimester?
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Ectopiacordis, encephaloceles, conjoined twins, anencephaly, acrania
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This type of ectopic develops hemorrhage, intestinal obstruction, & abscesses. what is the survival rate for this type of ectopic?
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Abdominal & peritoneal ectopics
30% survival w/ laparotomy. chemo used in treatment also. |
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What is an echogenic mass at the base of the umbilical from 8-12 weeks?
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Mid-gut Herniation
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When is Methotraxate Therapy most performed?
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Cervical Uterine Ectopics
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A mid-gut herniation can develop into what 2 condtions?
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Gastroschesis & Omphalocele
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Free floating bowel with good prognosis if treated early.
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Gastroschesis
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What chromosomal defect is downs syndrome?
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Trisomy 21
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What are the 2 types of nuchal folds?
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Cystic Hygroma & Nuchal translucency (NT)
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What chromosomal # is Edwards syndrome?
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Trisomy 18
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What is trisomy 13?
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Patau Syndrome, not compatable with life
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A chromosomal defect that is a contained bowel covererd by a membrane.
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Omphalocele
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How do you attain a Nuchal measurment?
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Magnify screen 1/3, differentiate fetal skin from amniotic membrane, fetal size should be >45mm.
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Another name for Nuchal Fold (NF)?
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Nuchal Thickness
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What are the differentials for umbilical cord cyst?
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amniotic wall cysts, vascular anomolies, fetal growths
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