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60 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)

Ovulation happens

Day 14

Fertilization occurs

24-36 hrs after ovulation


(Around day 15-16)

Blastomere

2 -4 cell stage in ampulla

Morula

8 cell stage in isthmus



Enters uterus 4 days after fertilization



Around day 19

Blastocyst

Implants in endometrium 7 days after fertilization


Around day 21

Blastocyst

Trophoblastic cells make

placenta and chorion

Inner cell mass makes

Embryo


Amnion


Yolk sac


Umbilical cord

With IUP hCG becomes delectable in bloodstream

7-10 days after ovulation


3wks LMP

hCG

Doubles every 48 hrs (2-3 days)

hCG

Keeps corpus luteum alive

Qualitative hCG

Urine yes or no

Quantitative hCG

Blood test (numbers)

Most common assay for hCG

3rd IRP

3rd IRP is equal to

1st IRP

hCG plateaus around

8-9 wks

Discriminatory zone for hCG

1000-2000 mIU/mL - transvaginaly

High levels of hCG

Incorrect dates


GTD


multiples

Low levels of hCG

incorrect dates


Ectopic


Embrionic demise or abnormal IUP

Endoderm

Lungs


GI

Mesoderm

Musculoskeletal


Heart

Ectoderm

Brain


Skin

Embrionic period ends at

10 wks

Fetal period begins

11 wks

Implantation begins

By 3rd wk LMP

First sonographic sign of a pregnancy

Decidualized endometrium



Not specific

First defenitive sign of an IUP

Gestationa sac

Double sac sign


Double decidual sig

Chorionic cavity

Between chorion and amnion



Extraembryonic coelom

Fetal contribution to placenta

Chorion frondosum -has villi

Maternal contribution to placenta

Decidua basalis - implantation site

Chorion that does not have villi

Chorion leave

Decidua capsularis

Endo tissue surrounding blastocyst

Decidua parietalis/ vera

Decidualized endo outer to capsularis

Double decidua sign

Capsularis-inner


Parietalis-outer


Capar

Yolk sac

Between membranes


Chorionic cavity

First structure seen within gestational sac

Secondary Yolk sac

When should the yolk sac be seen TV

Around 5.5 wks


MSD 8mm

When should the yolk sac seen TA

7 wks


MSD 20mm

Vitelline duct

Yolk sac to embryo

Normal measurements of yolk sac

Up to 6mm


Inner to inner

When should a GS be seen TV

hCG 1000-2000 mIU/mL


More than 5wks if certain LMP

GS grows

1mm per day

MSD formula

Length+height+width /3

How is GS measured

3 measurements in 2 planes


Inner to inner

How to get gestetional age from MSD

MSD +30=GA in days

A MSD-CRL<=5mm

High risk of abortion

How to calculate GA from CRL

CRL+ 42=GA in days

Most accurate measurement for dating pregnancy sonographically

CRL( head to bottom)

Embryo grows

1mm per day same as GS

When should an embryo be seen TV

MSD 16 mm

When should an embryo be seen TA

MSD 25 mm

Vitelline duct AKA

Omphalomesenteric duct

Vitelline duct

Contains one vein one artery

Responsible for early hematopoesis

Yolk sac

Fetal heart beating

Around 6 wks

Physiologic bowel herniation

8-12 wks

Rhombencephalpn

8-11 wks normal

Amnion and chorion fuse by

16 weeks

Chorionoc bump

Resolving hematoma


Assoc with preg loss slightly