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22 Cards in this Set
- Front
- Back
Most common ectopic pregancy site?
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90% in fallopian tubes
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Top risk factors for ectopic prengancy?
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1) previous ectopic pregnancy
2) tubal surgery/sterilization also DES exposure in utero and IUD use |
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presentation of ectopic pregnancy?
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pain at 6 wks post period
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Woman that goes into shock with acute abdominal pain 6 months after menses?
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tubal rupture due to an ectopic pregnancy
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What occurs in the endometrium during ectopic pregnancy?
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hypersecretory endometrium (srias stella reaction)
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abnormal attachment of placenta deeper than endometrium?
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accreta, precreta, and increta (in order of invasivenesS)
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complication of placental accreta, percreta, and increta?
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postpartum hemorrhage, most occur w placenta previa
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What is toxemia?
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pregnancy induced HTN caused by increased AT sensitivity, production of renin, angiogenesis, and decreased PGs
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What is preeclampsia?
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Proteinuria, Edema, and Hypertension
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what is eclampsia?
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proteinuria, edema, hypertension, and seizures
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Grapelike masses
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hydatidiform mole
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most common karyotype for complete mole?
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46XX
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universal swlling of villi vs scalloping of villi?
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universal is complete mole; partial mole shows scalloping
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complete mole tissue proliferation?
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universal swelling of villi and trophoblastic proliferation (partial has minimal of each)
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mole with no p57?
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complete mole
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main concerns of moles?
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emboli, hemorrhage, and uterine rupture due to size
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neoplasm of trophoblastic cells?
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choriocarcinoma
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no chorionic villi, soft, fleshy tumor?
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choriocarcinoma; this is a purely epithelial malignancy
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Treatment of choriocarcinoma?
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Choriocarcinoma very responsibe to Chemotherapy
Chymo and Chemo |
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How come metastasis of choriocarcinoma to lungs and brain occur without finding the primary tumor?
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the primary has undergone total necrosis due to ischemia!
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irregular spotting, brown foul-smelling fluid with high HCG.
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Choriocarcinoma, market cytotrophoblast and syncytiotrophoblast proliferation
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no HCG, cytotrophoblast, weakly immunoreactive to HPL. What is it?
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placental site trophoblastic tumor; composed of intermediate trophoblast.
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