Abnormal/Mult Gestations

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Across
  1. 3. identical twins from single ovum/always same gender
  2. 6. bleeding, cramping/pain, declining hCG
  3. 8. implantation of fertilized ovum at any site except for endometrium
  4. 10. spectrum of pathologic conditional resulting from abnormal growth of trophoblastic tissues
  5. 12. demise of co-twin late in 1st trimester or early in 2nd/ embryo, fetus, and sac absorbed
  6. 16. two ova are fertilized
  7. 19. increased hcg, increased msafp, increased uterine size
  8. 20. multiple gestations occur from one fertilized ovum
  9. 21. morula divides during 1st 4 days/1 or 2 placentas possible
  10. 22. no fetus and endometrial cavity filled with tissue/most common GTD
  11. 23. often seen in 1st trimester/bleeding and cramping in 1st
  12. 24. most common site of ectopic pregnancy
  13. 25. preimplantation blastocyst divides during 1st week/2 sacs & 1 placenta
Down
  1. 1. pain, bleeding, empty uterus, adnexal mass, positive pregnancy
  2. 2. not a true GTD/2 conceptions occur
  3. 4. fraternal twins/twins with 2 chorions, 2 amnions, and 2 placentas
  4. 5. HTN, pre-eclampsia/eclampsia, placental abruption, postpartum hemorrhage, preterm labor,, anemia
  5. 7. molar pregnancy and components of fetus
  6. 9. malignant, metastatic, and can spread to other organs/ very rare
  7. 11. prolapse/entanglement/compression of cord, difficult delivery, IUGR due to placental insufficiency, increased risk anomalies
  8. 13. blastocyst splits during 2nd week/ 1 sac & 1 placenta
  9. 14. result of abnormal development of vascularity in shared placenta of mono mono twins
  10. 15. endocrine, failure corpus luteum, anatomical abnormalities, interruption of development, chromosomal
  11. 17. amnioreduction and fetoscopic laser coagulation of chorionic vessels
  12. 18. malignant but not metastatic/most common form of persistance trophoblastic disease