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17 Cards in this Set

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Spontaneous abortion (miscarriage):
1. timing
2. cause of >50% of cases
3. 3 other causes
1. loss before 20 wks

2. chromosomal abNLities

3. defective implantation, fetal abNL, maternal causes
Ectopic pregnancy:
1. 3 possible locations, %

2. 3 predisposing factors

3. 2 possible results if untx'd
1. fallopian tube (90%), abd & ovary (10%)

2. inflammation, scarring, IUD

3. hemorrhage, rupture
3 types of twin placentas:
Implication of a monochorionic twin placenta
monozygotic twins
2 types of placental infections, which is more common?
1. most common: ascending infections through cervix (bacterial)

2. hematogenous infections (rare)
List common causes of hematogenous placental infections*
Toxo
others
Rubella
Cytomegalovirus
Herpes
TORCH
2 types of placental abNLities
Cutoffs for umbilical cords that are:
1. too long
2. too short
1. >80 cm

2. <32 cm
2 types of toxemia of pregnancy and the problems found in each
1. pre-eclampsia: HTN, proteinuria, edema

2. eclampsia: convulsions, DIC
3 possible syndromes found in women w/ severe preeclampsia*
hemolysis
elevated liver enzymes
low platelets
HELLP
3 parts of pathogenesis of pregnancy toxemia
4 pathologic findings in the placenta in pregnancy toxemia
1. infarcts
2. retroplacental hematoma
3. villous ischemia
4. acute atherosis
Gestational trophoblastic dz:
1. 4 types
2. 2 groups most common
1. hydatidiform mole, invasive mole, choriocarcinoma, PSTT

2. teens, 40-50 moles
Contrast complete & partial moles in gestational trophoblastic dz:
--karyotype
--villous edema
--trophoblast prolif
--atypia
--HCG
--outcomes
Invasive mole of gestational trophoblastic dz:
1. finding in uterus
2. spread to other organs?
1. abNL villi & trophoblast invade myometrium

2. can be deported to lungs & brain, no growth in other organs
Gestational choriocarcinoma:
1. origin
2. 2 common sources
3. key histo finding
4. common metastases
1. trophoblastic cells

2. complete moles, previous abortions

3. no chorionic villi

4. lungs, vagina, brain, liver, kidney
医院
/(n) doctor's office (surgery)/clinic/dispensary/
[いいん]