ECLAMPSIA

Question 1

WHAT IS ECLAMPSIA ?

Answer 1

ONE OR MORE CONVULSION IN ASSOCIATION WITH PRE-ECLAMPSIA.

Question 2

WHAT IS ECLAMPSIA NOT ALWAYS PRECEDED BY ?

Answer 2

HYPERTENSION AND PROTEINURIA

Question 3

INCIDENCE OF ECLAMPSIA

Answer 3

2.7 OF 10,000 BIRTHS POST 24 WEEKS.

Question 4

INCIDENCES OF ECLAMPSIA
POSTPARTUM

Answer 4

44%

Question 5

INCIDENCE OF ECLAMPSIA

ANTEPARTUM

Answer 5

38%

Question 6

INCIDENCE IN ECLAMPSIA

INTRAPARTUM

Answer 6

18%

Question 7

WHAT IS RECURRENCE RATE OF ECLAMPSIA?

Answer 7

5-30%

Question 8

IS ECLAMPSIA TIME CRITICAL?

Answer 8

YES

Question 9

SIGNS AND SYMPTOMS OF ECLAMPSIA

Answer 9

HEADACHE
OEDEMA
RIGHT SIDED UPPER ABDO PAIN
NAUSEA
VOMITING
BLURRED VISION
CONFUSION
FITS

Question 10

WHAT ABOUT PRE-ECLAMPSIA ? THE PATHOPHYSIOLOGY

Answer 10

PATHOPHYSIOLOGY OF PREECLAMPSIA IS UNKNOWN.

Question 11

HOW WILL ECLAMPSIA PRESENT?

Answer 11

TONIC CLONIC SEIZURES WITH JERKING LIMB AND HEAD MOVEMENTS.

CYANOSIS
TONGUE BITING
URINARY INCONTINENCE

Question 12

HOW LONG DO ECLAMPSIA SEIZURES USUALLY LAST?

Answer 12

90 SECONDS AND USUALLY SELF RESSOLVE

Question 13

DIFFERENTIAL DIAGNOSIS FOR ECLAMPSIA

IN THE EVENT OF RECURRENT/PROLONGED SEIZURES THAT ARE UNRESPONSIVE TO MAGNESIUM SULPHATE CONSIDER?

Answer 13

HYPOGLYCEMIA
Hyponatremia
Intracranial haemorrhage
Epilepsy
Space-occupying cerebral lesion or cerebral vein thrombosis