A26-year old g1p0 woman with last menstrual period 13 weeks ago presents to your office for her first prenatal visit. she reports vaginal spotting for the last two days. you perform an ultrasound that shows an intrauterine pregnancy consistent with 11 weeks gestation with no cardiac activity.?

It means that a miscarriage (specifically a MISSED MISCARRIAGE) had occured.

EXPLANATION:

A miscarriage is defined as the spontaneous loss of pregnancy before 20 weeks of gestation.

Types:

A. SPONTANEOUS ABORTION: The spectrum of spontaneous abortion includes:

-Complete Miscarriage: Here the uterus is empty. All pregnancy tissues have been expelled from the body.

-Incomplete miscarriage: Some tissue or placental material still remains in the body. On ultrasound, retained products of conception are seen.

-Missed miscarriage: The embryo dies intrauterine, uterine size is equal to or less than gestational age, cervix is closed and pregnancy symptoms start to regress.

-Threatened miscarriage: Bleeding and abdominal cramps point to a possible miscarriage.

The cervical os is closed.

-Inevitable miscarriage: The cervical os is open. The presence of bleeding, cramping, and cervical dilation indicates that a miscarriage is inevitable.

-Septic miscarriage: Ultrasound finding is retained products of conception.

Symptoms may include Fever, chills and rigor, abdominal pain, prolonged bleeding or foul-smelling vaginal discharge.

B. INDUCED MISCARRIAGE

-Legal/Therapeutic

-Illegal/Criminal

the bald eagle got 50 because everything gets 10% of what they consume and since 50 is ten % of 500 hundred that means the   grasshopper had to have consumed a plant with 5,000 calories of energy