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17 Cards in this Set
- Front
- Back
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BP in pregnancy is usu:
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decreased
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Max nl BP incr in 3rd trimester ?
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prepregnancy BP
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Leading causes of maternal death in developed countries.
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HELLP
AFLP |
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Preecalmpsia mech:
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generalized arteriolar constriction
(vasospasm) |
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theories of vasospasm in pre-eclampsia
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circulating Ab
circulating Ag-Ab complexes (SLE-like) vessel wall damage |
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Incidence of HELLP in preeclampsia.
(same as incidence of fetal death in HELLP) |
10%
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Preeclampsia incidence
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5%
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Proteinuria break pt for preeclampsia.
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2+ (100 mg / dl) on 2 occassions
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AFLP incidence.
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1/10,000
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AFLP fetuses frequently have:
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LCHAD
long-chain hydroxyacyl-CoA dehydrogenase deficiency |
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AFLP vs HELLP
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liver failure indicated by:
increased ammonia glucose < 50 reduced fibrinogen reduced antithorombin III |
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AFLP tx ?
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supportive
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preeclampsia tx ?
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delivery
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Hemoltyic anemia findings
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schistocytes
increased lactate dehydrogenase increased ttl bilibrubin |
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preeclampsia recurrance rate
w/ chronic htn & preeclampsia |
25-33%
70% |
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grandmal seizures + preeclampsia
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eclampsia
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incidence of preeclampsia in chronic htn ?
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1/3
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