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OnlineMedEd Shared "OME: Postpartum Hemorrhage" - 4 Picmonics

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OME: Postpartum Hemorrhage

Postpartum Hemorrhage
Mechanism
Uterine Atony
Lacerations
Retained Placenta
Signs and Symptoms
Bleeding
Hypotension
Boggy Uterus
Considerations
Oxytocin
Bimanual Compression of Uterus
Surgery
Blood Transfusion
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2 mins
Uterine Atony
Pathophysiology
Most Common Cause of Postpartum Hemorrhage
Uterine Overdistention
Exhausted Myometrium
Uterine Infection
Presentation
"Boggy" Uterus
Treatment
Resuscitation with IV Fluids and Transfusions
Bimanual Uterine Massage
Oxytocin
Methergine
Prostaglandins
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2 mins
Placental Implantation Abnormalities
Mechanism
Placenta Adheres Directly to Myometrium
Placenta Accreta
Placenta Increta
Placenta Percreta
Caused by Scar Tissue
Hemorrhage
Diagnosis
Ultrasound is First-line, then MRI
Treatment
C-section Delivery
Artery Ligation or Embolization
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2 mins
Disseminated Intravascular Coagulation (DIC)
Pathophysiology
Bleeding State
Activation of Clotting Factors
Deficiency of Clotting Factors
Causes
Sepsis
Trauma
Obstetric Complications
Acute Pancreatitis
Malignancy
Nephrotic Syndrome
Transfusion
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2 mins

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