PA Boards 59: Placenta Abruption

Medgeeks Clinical Review Podcast

Medgeeks

Physician, Pance, Health & Fitness, Review, Family, Education, Medicine, Assistant, Board, Podcast

4.7 • 989 Ratings

🗓️ 10 June 2015

⏱️ 7 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Main takeaways:
-Defined as premature seperation of the placenta
-Presents as painful third trimester bleeding
-Order ultrasound, CBC, coagulation factors, and fetal monitoring
-Ultrasound misses up to 75% of diagnoses
-Stabalize the patient

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Transcript

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0:00.0	Welcome to episode 59 of the Physician-Assistim Boards.
0:04.3	podcast. Today's topic is going to be on placental abruption. Now placental
0:09.7	abruption is a very easy diagnosis to make on your boards. It's not as easy to make in clinical practice.
0:16.0	And the reason being is that the boards want you to know a very specific case scenario.
0:20.0	They want you to know that every time you see a patient that has third
0:24.4	trimester vaginal bleeding you are going to think placental
0:28.6	abruption. That is it. Anytime third trimester painful bleeding your mind should automatically be going to placental
0:35.7	abruption. Remember, placenza previous will have painless vaginal bleeding. Placental
0:41.7	abruption is going to have painful.
0:44.0	And the reason why it's not as easy in clinical practice
0:47.0	is because although vaginal bleeding is considered to be a classic sign,
0:51.0	it's not always present in real life. But the boards won't do that because that
0:55.8	makes things a little bit complicated. That ends up being a clinical diagnosis.
1:00.0	They have no way to enforce that. so the boards will give you painful vaginal
1:03.8	bleeding now let's go back a sec and define what placental
1:09.0	abruption actually is now all placental abruption is is premature separation of the placenta. That is it. And why it happens
1:18.4	it's not exactly known but what we do know is that it occurs in about 1% of all pregnancies.
1:24.0	Now about 1%, maybe a little bit more, maybe a little bit less,
1:28.0	of pregnancies will be complicated by placental
1:32.0	abruption.
1:32.6	And as we stated, it's not really sure why it's,
1:34.8	why it occurs, but there are some risk factors
	...

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