Difference between revisions of "Pregnancy (main)"

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==Background==
 
==Background==
 
*[[Maternal Vitals and Labs in Pregnancy]]  
 
*[[Maternal Vitals and Labs in Pregnancy]]  
*[[Drug Ratings in Pregnancy]]
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==Clinical Features==
 
*[[Fundal Exam in Pregnancy]]
 
*[[Fundal Exam in Pregnancy]]
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
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{{DDX abdominal distention}}
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{{VB DDX less than 20}}
 
{{VB DDX less than 20}}
  
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{{Postpartum emergencies DDX}}
 
{{Postpartum emergencies DDX}}
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==Evaluation==
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{{Repeat B-hCG levels}}
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==Management==
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*[[Drug Ratings in Pregnancy]]
  
 
==See Also==
 
==See Also==

Latest revision as of 21:14, 22 June 2020

Background

Clinical Features

Differential Diagnosis

Abdominal distention

Vaginal Bleeding in Pregnancy (<20wks)

Abdominal Pain in Pregnancy

The same abdominal pain differential as non-pregnant patients, plus:

<20 Weeks

>20 Weeks

Any time

3rd Trimester/Postpartum Emergencies

Evaluation

Repeat B-hCG Levels

Pregnancy Type B-hCG Change
Normal
  • Increase >53% in 48hrs (until 10,000 mIU/ml)
  • Depends on the initial value:
    • <1500 --> 50% increase
    • 1500-3000 --> 40% increase
    • > 3000 --> 30% increase
Ectopic
  • Increases or decreases slowly ("plateau")^
Miscarriage
  • Decreases >20% in 48 hrs

^Initial level CANNOT be used to rule-out ectopic

Management

See Also