How does miscarriage differentiate from disease in the department of gynecology photograph?

The DIFFERENTIAL DIAGNOSIS OF ABORTION IS NOT DIFFICULT, BUT MUST BE careful, especially for unmarried AND OVER 40 years old, do not neglect to miss the diagnosis or identify as abortion. The disease should be identified with hydatidiform mole, ectopic pregnancy, dysfunctional uterine bleeding, uterine fibroids, and other diseases.

(1) Hydatidiform mole: the hydatidiform mole is characterized by menopause, vaginal bleeding, abdominal pain, abdominal enlargement, etc., so it must be distinguished from threatened abortion.

① Amenorrhea and vaginal bleeding. Hydatidiform mole IS THE same AS NORMAL pregnancy, there is an early amenorrhea time, ranging from 4 to 37 weeks, the average is about 12 weeks, there is irregular vaginal bleeding, the initial amount is small, brown, intermittent recurrent attacks, so most patients have anemia phenomenon, some have a secondary infection. Occasionally out of the blood mixed with vesicular tissue, hydatidiform mole sometimes can be naturally discharged, often before the occurrence of a large amount of bleeding, not timely treatment, can be a large amount of blood loss and shock, and even death.

(2) abdominal pain. There is no abdominal pain at ordinary times, when hydatidiform mole grows rapidly, uterine overexpansion can have lower abdominal pain. In addition, before vaginal bleeding, often faint paroxysmal abdominal pain, this is the uterus discharge its content and causes paroxysmal contraction, generally not drastic, but if there is flavin cyst torsion, can appear sharp abdominal pain.

③ Abdominal enlargement. Hydatidiform mole due to villus edema, volume increase, or due to blood in the official cavity, the general uterine enlargement than the corresponding threatened abortion is large, often in menopause for 3 months, the uterus has 4 ~ 5 months of pregnancy size, and the size of the threatened abortion uterus is consistent with menopause month or slightly small.

④ Human chorionic gonadotropin. A typical hydatidiform mole produces a large amount of human chorionic gonadotropin due to its large area and hyperplasia of trophoblast cells, which is higher than that of the corresponding threatened abortion. Especially after 12 weeks of gestation, threatened abortion human chorionic gonadotropin begins to decrease, while hydatidiform mole, on the contrary, increases gradually with the enlargement of the uterus. But very few hydatidiform mole villus degeneration, and human chorionic gonadotropin level is not high, even below normal.

⑤B ultrasound examination. The uterus is larger than the menstrual period, and the enlarged uterine area is full of long light slices, such as snowflakes, so it is called the "falling snow image". In the edge part, the spot becomes sparse, and there is no normal fetal body image, fetal heart, or amniotic fluid segment. Threatened abortion visible intrauterine fetus, can have fetal heart.

Additional, hydATIDIFORM mole EARLY pregnancy REACTION IS HEAVY, appear earlier THE DISEASE OF PREGNANCY POISONING SUCH as edema, HYPERTENSION, proteINurIA, and THREATENED ABORTION DOES NOT HAVE DISEASE OF PREGNANCY poisoning COMMONLY.

(2) ectopic pregnancy: tubal pregnancy in the early stage, before abortion or rupture, and early threatened abortion symptoms and signs similar, such as menstrual expiration in the future, the uterus is slightly large and soft, a small amount of vaginal bleeding, pregnancy test positive, so the need to identify.

menopause. Tubal pregnancy in the bleeding before, more than a history of menopause, the length of the variable, generally 6 to 8 weeks, interstitial pregnancy is the duration of menopause is longer, generally 3 to 5 months.

Some have no obvious history of menopause, and should carefully ask about the so-called last menstrual volume, the length of time, and the previous menstruation whether they are different, often found that the two are not exactly the same, the essence of decidua tissue stripping caused by the blood as the last menstruation, the real last menstruation should be the previous menstruation.