First trimester abortion: Difference between revisions
Ostermayer (talk | contribs) (Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== ===Complete Abortion=== #<12 weeks + no IUP #Distinguish from ectopic based on decreasing hCG, decreased blee...") |
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
===Complete Abortion=== | ===Complete Abortion=== | ||
*<12 weeks + no IUP | |||
*Distinguish from ectopic based on decreasing hCG, decreased bleeding | |||
*Only need to send hCG if unable to examine POC | |||
===Threatened Abortion=== | ===Threatened Abortion=== | ||
*Closed os + IUP + bloody vaginal dischrage or frank bleeding | |||
*If <11wk >90% go to term | |||
*If between 11 and 20wk 50% go to term | |||
===Inevitable Abortion=== | ===Inevitable Abortion=== | ||
*Open os + contractions/cramps | |||
===Incomplete Abortion=== | ===Incomplete Abortion=== | ||
*>12 wks + passage of only portion of POC | |||
===Missed Abortion=== | ===Missed Abortion=== | ||
*Fetal death at <20wk w/o passage of any fetal tissue for 4wk after fetal death | |||
===Septic abortion=== | ===Septic abortion=== | ||
*Evidence of infection during any stage of abortion | |||
*Most commonly caused by retained products of conception | |||
==Workup== | ==Workup== | ||
Revision as of 07:00, 26 April 2014
Background
Clinical Features
Differential Diagnosis
Complete Abortion
- <12 weeks + no IUP
- Distinguish from ectopic based on decreasing hCG, decreased bleeding
- Only need to send hCG if unable to examine POC
Threatened Abortion
- Closed os + IUP + bloody vaginal dischrage or frank bleeding
- If <11wk >90% go to term
- If between 11 and 20wk 50% go to term
Inevitable Abortion
- Open os + contractions/cramps
Incomplete Abortion
- >12 wks + passage of only portion of POC
Missed Abortion
- Fetal death at <20wk w/o passage of any fetal tissue for 4wk after fetal death
Septic abortion
- Evidence of infection during any stage of abortion
- Most commonly caused by retained products of conception
