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  • Abnormal Vaginal Bleeding - Abortions

    Enviado por

    Solomon Seth Sallfors
    10 visualizações2 páginas
    This document describes different types of abnormal pregnancies and their associated symptoms, physical examination findings, and test results. These include threatened abortion, incomplete abortion, complete abortion, missed abortion, ectopic pregnancy, and gestational trophoblastic disease. For each condition, it lists whether there is amenorrhea and vaginal bleeding, the level of pain, findings on pelvic examination such as uterine size and adnexal tenderness, results of pregnancy tests, possible ultrasound findings, and common treatments.

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    Abnormal Vaginal Bleeding

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    This document describes different types of abnormal pregnancies and their associated symptoms, physical examination findings, and test results. These include threatened abortion, incomplete abortion, complete abortion, missed abortion, ectopic pregnancy, and gestational trophoblastic disease. For each condition, it lists whether there is amenorrhea and vaginal bleeding, the level of pain, findings on pelvic examination such as uterine size and adnexal tenderness, results of pregnancy tests, possible ultrasound findings, and common treatments.

    Direitos autorais:

    © All Rights Reserved
    Baixe no formato XLSX, PDF, TXT ou leia online no Scribd
    Sinalizar o conteúdo como inadequado
    10 visualizações2 páginas

    Abnormal Vaginal Bleeding - Abortions

    Enviado por

    Solomon Seth Sallfors
    This document describes different types of abnormal pregnancies and their associated symptoms, physical examination findings, and test results. These include threatened abortion, incomplete abortion, complete abortion, missed abortion, ectopic pregnancy, and gestational trophoblastic disease. For each condition, it lists whether there is amenorrhea and vaginal bleeding, the level of pain, findings on pelvic examination such as uterine size and adnexal tenderness, results of pregnancy tests, possible ultrasound findings, and common treatments.

    Direitos autorais:

    © All Rights Reserved
    Baixe no formato XLSX, PDF, TXT ou leia online no Scribd
    Sinalizar o conteúdo como inadequado
    de 2

    Amenorrhea Vaginal Bleeding Pain Pelvic Examination Pregnancy Test

    Threatened Abortion Yes Dark or bright red spotting Mild to moderate midline Uterus compatible with dates B subunit hCG levels compatible
    pelvic cramping with dates

    Mildly tender
    Incomplete Abortion Yes Heavy bright red bleeding with Moderate to severe midline Uterus small for dates B subunit hCG levels less than
    clots pelvic cramping expected

    Complete Abortion Yes Bleeding has reduced to Cramping has stopped, slight Uterus small for dates B subunit hCG levels low for dates
    spotting or stopped tenderness
    Missed Abortion Yes Dark red spotting Mild to moderate cramping Uterus small for dates B subunit hCG levels low for dates

    Ectopic Pregnancy Yes Dark red spotting Mild to moderate cramping in Uterus small for dates. B subunit hCG low for dates
    lower quadrant Adnexal tenderness
    Possible adnexal mass
    Gestational Yes Dark red spotting Mild to moderate cramping in 50% - uterus large for dates B subunit hCG
    Trophoblastic Disease Bright red bleeding midline 25% uterus small for dates Usually very high for dates
    Small amount to excessive 25% uterus compatible with dates
    Ultrasound Treatment
    Uterus contains fetus and yolk Observation
    sac

    Viable fetus may have been Evacuate Uterus


    passed.
    Tissue in uterus
    Empty uterus Observation

    Tissue in uterus. Evacuate uterus

    No fetus
    Thickened endometrial strip. Methotrexate
    Possible adnexal mass

    Grapelike structures Evacuation of uterus


    Dilated Hydropic villi

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