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exam of patient after sex assault
OP of traumatic genital injuries
collection vaginal contents, lavage w/ disinfectant
ER contraception
findings missed abortion (fetal demise w/o expulsion)
uterine size smaller than expected, closed cervix, low bchg, no signs fetal activity
clinical of septic abortion
fever, high leu and crp, soft tender uterus, adnexal tenderness
early complications elective abortion
hemorrhage
infection
uterine perforation, cervical trauma
risk assessment after exposure of medication in pregnancy
precise dating (1st trimester, specifically 3-8w post-conception is most critical)
risk estimation factors - timing, duration, dosage
dg measures (US, afp, amniocentesis)
abortions indicated after fetal exposure to what drugs
vit a (isotretinoin), coumarin (warfarin), cytostatics (mtx, cyc)