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13 Cards in this Set
- Front
- Back
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What is the most common cause of post partum hemorrhage? |
Atony “without tone.” Uterus does not contract and gets floppy and unable to retain shape. |
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What causes atony of the uterus? |
Multiple gestation, >5 pregnancies, large fetus, macrosomy, polyhydramnios. |
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What’s the uterine measurements of post partum? |
Length: 14-25 cm Width: 7-14 cm AP: 7-10 cm |
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Finding in a post partum patient- heterogenous. Hyperechoic mass, subendometrial, extends into posterior myometrium, Doppler shows vascular. Finding? |
Post partum uterus- Placenta accreta |
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In a female patient who had delivered her baby recently. Persistent bleeding 3 weeks. Finding on ultrasound is a echogenic mass in the endometrial canal. Heterogenous, endometrial stripe > 13 mm. Wide distended fundus. Finding? |
Retained products of conception. (Looks similiar to endometritis.) Also usually vascular but not always. |
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Vaginal delivery after c- section increases incidence with? |
Endometritis |
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Vaginal delivery after c- section increases incidence with? |
Endometritis |
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Post partum patient has ultrasound and finding is a thick irregular endometrium. Fluid is in endocervical canal. Hyperechoic dots in uterine cavity. Finding? |
Endometritis |
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Cesarean section common complications include? |
Infection or hematomas |
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Post c section what is the most common area for hematomas? |
Bladder flap: between the bladder and uterus. |
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Post partum patient had baby c- section. Now she has been experiencing fever, chills, headache, malaise, anorexia, vaginal discharge. |
Puerperal infection |
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What is the Virchows Triad that leads to thrombus post partum? |
Endothelial injury (Uterus expansion and contraction) Hypercoagulability (Pregnancy and post partum. Suspectible to thrombus.) Venous Stasis- (Increased then decreases flow, incompetent valves.) |
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It’s been 72 hours since pt delivered baby. She has pelvic pain, fever, right sided pelvic pain. Suspect? |
Ovarian vein thrombophlebitis. (Right ovarian vein is affected more: 80-90%) |
