Created at 6:11 a.m. Dec, 09, 2024
Author: andrewmathias8
Related Note: 1636459096243 1
Rationale for change

This card is wrong on multiple levels

1. Bleeding prophylaxis after complete spontaneous abortion is not done unless there is evidence of bleeding or the patient is unstable. AMBOSS says that there is "no treatment required" after a complete spontaneous abortion (citation #2)

2. Even if this were true, oxytocin / misoprostol / carboprost are also acceptable answers (and are considered more "first-line") in addition to methylergonovine.

3. The bit in Extra about "decreases retained tissue" is a mistaken rationale, because in a "complete" abortion, there aren't any retained POC.

Citations:

1A. https://next.amboss.com/us/article/mM0V6g?q=oxytocin%20hemorrage%20management#Zcc747a5908169a03a1fb38e97133cd0f

1B. https://next.amboss.com/us/article/4p03pS?q=carboprost#Zb748538a4f880ee51f098b2220eb949d

2. https://next.amboss.com/us/article/gO0F7T?q=complete%20spontaneous%20abortion#Zef92065bd3fdd89f35b0b4a0fa516ad2

Text Text
Extra Extra
Lecture Notes
Empty field
Missed Questions
Empty field
Pathoma
Empty field
Boards and Beyond
Empty field
First Aid
Empty field
Sketchy
Empty field
Sketchy 2
Empty field
Sketchy Extra
Empty field
Picmonic
Empty field
Pixorize
Empty field
Physeo
Empty field
Bootcamp
Empty field
OME
Empty field
Additional Resources
Empty field
One by one
Empty field
#AK_Original_Decks::Step_2 #AK_Step2_v12::#B&B::11_Obstetrics_and_Gynecology::01_Obstetrics::08_Abortion #AK_Step2_v12::$AnKingAdds::BnB::ObGyn #AK_Step2_v12::!Shelf::ObGyn::no_dupes::only_step2