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16 Cards in this Set
- Front
- Back
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fetal heart tones
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only worrisome if not heard after 12 weeks a normal rate is 120 - 160
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EVUS of embryonic demise or missed abortion
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embryo lacking cardiac activity with CRL > 5mm
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US of implantation bleeding
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empty uterus if EGA 3 - 5 weeks
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septic abortion U/S
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irregular endometrium > 5mm double stripe
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threatened abortion US
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embryo with cardiac activity or empty gestational sac (5 - 6.5 weeks) subchorionic hemorrhage,
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incomplete abortion U/S
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os open or closed thickened, irregular endometrium > 5mm double stripe
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the use of rhogam is indicated for
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all pregnant vaginal bleeders who are Rh negaative recieve 300mcg of rhogam which can work up to 72 hours after exposure
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mtx protocol
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50mcg/m2 success rate for 85-100% for resolving may take up to 44 days for hCG
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tubal rupture occurs in what percent of medically managed ectopic
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4%
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sonographic findings that foreshadow a poor outcome include a
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slow embryonic heart rate (less than 90) and large yolk sac (greater than 6mm)
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vaginal stripe of what can exclude endometrial U/S
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less than 4mm
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earliest landmark of pregnancy
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gestational sac...which can be seen by 4.5 weeks the gestational sac has the two layers and can be visualized by the double decidual sign
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second sonographic landmark of pregancy and by when is it seen
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yolk sac seen by the end of the 5th week
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pregnant patients can tolerate significant anemia down to
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20%
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an abnormal increase in HCG is defnied as
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less than 66% increase over 48 hours for levels less than 10,000
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whereas the half-life of HCG in failing pregnancies is less then 1.4 days it is what in ectopics
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> 7...and a falling HCG does not exclude the possibility of tubal rupture
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