Summary
Samenvatting Pathologie van de verloskunde (Dr. Platteeuw)
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Volledige samenvatting van deel Dr. Platteeuw
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studentVroedkundeKortrijk
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Pathologie v/d verloskundeDr. Platteeuw
Bloeding in zw.sch.
Miskraam
= Spontane afbreking v/d zw.sch. voor 20w
1/5 vrouwen maakt minstens 1 miskraam door
Oorzaken
Maternele prob.
Koorts, infecties, rhesusimmunisatie, chronische aandoening, corpus luteum insufficiëntie
Uteriene prob.
Cervicale insufficiëntie, fibromen, structurele afwijkingen
Immunologisch
Causa incognita
Diagnose
Klinisch ond.
Echografisch ond.
Abortus imminens
= Dreigende abortus
Abortus incipiens
= Onvermijdbare abortus
Behandeling
Hoe vroeger, hoe meer kans op volledige expulsie
Afwachtende houding
Prostaglandines
80% kans op expulsie met prostaglandines
Curettage
Alarmsyptomen
Pijn
Haemorrhagie
Koorts
Infectie in b.m.
Complicaties
Infectie
Post-operatief
Septische abortus
Kapstokken
Rhesusprofylaxis
Ashermansyndroom
= verkleving voor- en achterwand b.m.
Door infectie
A term: SROM, niet in arbeid
, Extra-uteriene zw.sch.
= Ontw. zw.sch. buiten b.m.
1/200 zw.sch.
Pathogenese
Voorbeschikkende factoren
Infectie
IUCD/ spiraal
Afwijkende anatomie tuba
IVF
Tubaire heelkunde
Voorgaande EUZ
Tubaire ruptuur
Vanaf 8e w
Intra-uterien
Decidual Cast
= Lijkt op lege vruchtzak
Diagnose
Klinisch
Bl.verlies
Onderbuikspijn, aanhoudend
Peritoneale prikkeling
Cri du douglas
Pollakisurie
Resorptiekoorts
Schouderpijn
Diafragma geprikkeld door bl.
Hemorrhagische shock
Bl.afname
Echo
Diagnostische laparoscopie
Differentieel diagnose => hCG (vaak) negatief
Hemorrhagisch corpus luteum
Mittelschmerz
Appendicitis
McBurney
PID
Bilateraal
Ovariele torsie
Acuut
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