Notes in OG4.4 Medical Disorders

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Published 10/04/2024 Highest risk for DVT/PE in pregnancy occurs {{c1::just after delivery}}
Published 10/04/2024 {{c1::Ileofemoral::location}} DVT is more common in pregnancy
Published 10/04/2024 DVT is 8 times more common in the {{c1::left::left/right}} leg in pregnancy
Published 10/04/2024 Diagnosis of PE in pregnant women according to RCSI → {{c1::CT pulmonary angiogram}}
Published 10/04/2024 Treatment of PE in pregnant women → {{c1::Low molecular weight heparin}}
Published 10/04/2024 Treatment of massive PE or PE at term in pregnant women → {{c1::IV unfractionated heparin}}
Published 10/04/2024 Post natal anticoagulation should continue for at least {{c1::6 weeks}}
Published 10/04/2024 Indications for thromboprophylaxis in pregnancy:- {{c1::History of a clot in pregnancy}}- {{c1::On OCP}}- {{c1::Known thrombophilia}}
Published 10/04/2024 The cardiovascular disease that is associated with the highest mortality in pregnancy is {{c1::primary pulmonary hypertension}}
Published 10/04/2024 Fetal echocardiography should be done at {{c1::22 - 24}} weeks to check for cardiac abnormalities
Published 10/04/2024 What form of anaesthesia should pregnant women with cardiac disease get?{{c1::Narcotic epidural}}
Published 10/04/2024 Mode of delivery for a woman with critical cardiac lesion → {{c1::C-section}}
Published 10/04/2024 Mode of delivery for a woman with moderate cardiac compromise → {{c1::assisted vaginal delivery}}
Published 10/04/2024 When is sudden decompensation most likely in women with cardiac disease → {{c1::post partum}}
Published 10/04/2024 Medication to avoid in postpartum in women with cardiac disease → {{c1::ergometrine}}
Published 10/04/2024 Medication to be given as a slow infusion in postpartum in women with cardiac disease → {{c1::oxytocin}}
Published 10/04/2024 Risk of death in pregnancy is {{c1::10x}} higher in women with epilepsy
Published 10/04/2024 Adverse sequelae observed in pregnancies of epileptic women:- {{c1::Intra-uterine growth restriction}}- {{c1::Major and minor malformations}…
Published 10/04/2024 Cause of neonatal hemorrhage in women with epilepsy → {{c1::vitamin K ↓}}
Published 10/04/2024 Risk of epilepsy in the fetus is {{c1::higher}} if the mother has epilepsy
Published 10/04/2024 Seizures during pregnancy are {{c1::more}} dangerous
Published 10/04/2024 Maximal seizure exacerbation occurs in the {{c1::3 days::duration}} postpartum
Published 10/04/2024 Recommended folic acid dose for patients with epilepsy → {{c1::5 mg/day}}
Published 10/04/2024 Antiepileptic drug with the highest risk of congenital malformation → {{c1::valproate}}
Published 10/04/2024 Carbamazepine ↑ risk of {{c1::neural tube defects::fetal anomaly}} and {{c1::cleft palate::fetal anomaly}}
Published 10/04/2024 Antiepileptic drugs ↑ risk of {{c1::depression::psychiatric issue}}
Published 10/04/2024 In the last month of pregnancy, patients on anti-epileptic drugs that induce liver enzymes should get {{c1::10 mg/d vitamin K}}
Published 10/04/2024 Breast feeding on antiepileptic drugs are {{c1::safe}}
Published 10/04/2024 Management of obstetric cholestasis → if bile acids {{c1::40-100::range}} mmol/L -> deliver at {{c2::38-39::range}} weeksif bile acids &g…
Published 10/04/2024 Feared complication of obstetric cholestasis → {{c1::intrauterine fetal death/stillbirth and preterm delivery::2}}
Published 10/04/2024 Management of acute fatty liver of pregnancy → {{c1::deliver asap}}
Published 10/04/2024 Main risk of renal disease to the fetus is {{c1::intra-uterine growth restriction}}
Published 10/04/2024 Hb < {{c1::10}} is worrying in pregnancy
Published 10/04/2024 Iron supplementation should be done if hemoglobin is {{c1::< 10.5}} in pregnancy
Published 10/04/2024 Obstetric cholestasis affects {{c1::<1}}% of pregnancies
Published 10/04/2024 Obstetric cholestasis diagnosis{{c1::elevated fasting bile acids}} +/- {{c1::elevated liver enzymes}}
Published 10/04/2024 antenatal management of obstetric cholestasis{{c1::weekly LFTs and bile acids::investigation + frequency}} until delivery{{c1::topical emollients (cal…
Published 10/04/2024 pruritus gravidarum{{c1::no rash::rash or no rash}}{{c1::normal::normal or abnormal}} LFTs
Published 10/04/2024 pruritic eruption of pregnancy{{c1::urticarial rash on abd striae spreading to extremities::rash or no rash}}{{c1::normal::normal or abnormal}} LFTs
Published 10/04/2024 pemphigoid gestationis{{c1::itchy rash with large tense blisters::rash or no rash}}
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