DrVirgo
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45. A 33 year old woman gravida 2, para 1, at term gives birth to a 4167-g (9lb 3 oz) male newborn by a spontaneous 30 minute vaginal delivery. Shortly after delivery of the placenta, there is a brisk flow of blood from the uterus. Manual palpation of the uterine cavity shows a large fragment of retained placental material. A curettage shows a fibrous nodule of placental tissue that si firmly adherent to the uterine wall. Which of the following is the most likely cause of bleeding in this patient?
A. Abruptio placenta
B. Choriocarcinoma
C. Factor XII (transglutaminase) deficiency
D. Granulomatous endometritis
E. Placenta accreta
F. Placent previa
explain answer and other choices for discussion.... thanks. 
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| drkirti79
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can it b placenta accreta as fibrous nodule attached to myometrium is cause of bleeding ??????
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| reet
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E
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| Cedrick
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Acreta mean hard in "greek or latin " anyway one of those
Yeah
E
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| robin082006
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E
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| DrVirgo
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yes, thats right E -Placenta accreta is when the placenta is frily attached to the uterine wall.
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