Pet Flashcards
(26 cards)
Causes of PET before 20W
APL
A-chorionic↑ ( twin, polyhydramenous,vesicular mole, hydropsfetalis)
Pet incidence
2 mc medical disorder during pregnancy after anemia
Smoking effect [PET]
Protective (يناغرييهوالله)
Pet RF
Extremes of Age (vesicular mole معاها )
Race of pet
Negroid
Pet criteria of severity
BP >160/110(signs)
Persistent headaches blurring of visions, vomiting
RT upper quadrant ,epigastric pain
Vaginal bl , dec fetal movement(symptoms)
Placental complication of pet
Aprubto placenta (accidental hge
Alp value Not important in pregnancy[why?]
2) uric acid used in pet diagnosis
1) secreted by placenta
2 elevated in acute conditions
Doppler results in pet
vascular res ↑
Early diastolic notch
Worst stage of edema
Pulmonary edema
Prophylaxis T TT in pet
Vit E,C
Aspirin
Ttt of severe cases
Mg so 4( افداع الكتاب
Ergotamine
CI in pet and cardiac disease
Eclampsia stages
1) promontory 2) tonic (epithotonos رافعه ضهرها لفرق كنك بتتمطع arched back
3) clonic 4) coma
Cause of death with eclampsia
Intracranial hge
DD of convulsion
’ Epilepsy 2) hysterical 3) strychnine poison 4) metabolic
Effect of acei_arb on pregnancy
’ CI cause CFMF and renal anomalies
One of proposed
etiologies for preeclampsi
Incomplete trophoblastic invasion
of uterine arterioles(remodiling theory )
mechanism of action
of d-methyldopa?(antihypertensive )
acts centrally to decrease vascular
Tone (↓prephral resistance)
most common prodromal
sign or symptom in patient with
eclampsia
Headache
mechanisms
of the anticonvulsant action of Mg
sulphate
Neuronal Ca-channel blockade.
Peripheral neuromuscular blockade.
Reversal of cerebral arterial
vasoconstriction.
Release of endothelial prostacyclin.
antihypertensive CI in pregnancy
Captopril
Captopril(acei) adverse effect
Renal dysgenesis, oligohydramens-fetal hypotension, hypocalvaria
Epidural Analgesia and oxytocin for pet
Allowed
