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Abortion-Hi yield - drstrider
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11-04-2009, 04:23 PM
guys it was always been a confsuion for me about different abortion..finally i manged to work on it
though of sharing wit u guys here the link : http://img689.imageshack.us/img689/7868/abortion2q.jpg correct me if m wrong  gl
11-05-2009, 12:45 PM
Hi.
I have few notes on this. in complete abortion cervix is usually closed but also may be opened (i had a similar question somewhere). in the managmenet of inevitable, missed, and incomplete follow the following; expectant management (only if 1st trimester) for stable pts who want to wait, Misoprostol for those who are stable and don™t want to wait, Surgery (D&C) for unstable or who don™t want medical therapy. Gd luck.
11-05-2009, 05:32 PM
@fcbarcelona:
once all the poc are expelled the os will be closed..i didn't come across open os either in uw or kaplan from which i made these notes about the management part..i guess its D&C u don't want the pt to go for DIC or any other complication due to excess loss of blood. anyways..i made them only from uw & kaplan..u can refer any other obs book @okt3..welcome
11-06-2009, 12:35 AM
To drstrider.
About the oss, I wrote that in my notes, so i had it somehwere for sure. About management, 80% of women will have succesful outcome with expectant management alone, and for sure u will not wait for it so long, cause most of them will expule the content within 2 weeks, and for sure u will F/U for DIC. If u had such question in the exam, dont pick expectant management, but just keep it in ur mind if no D&C is there. I upload this from my notes; http://img29.imageshack.us/img29/5844/sp...ortion.jpg Thank you for sharing. |
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