Obstetrics I - OSCE > HEG > Flashcards

HEG Flashcards

(27 cards)

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1
Q
A
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2
Q

Def of Emesis gravidarum

A
  • Vomiting that occurs mostly during early morning, usually appears at 6 weeks & disappears after 14 weeks & doesn’t affect the general condition of woman.
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3
Q

Def of Hyperemesis graviderum

A
  • Severe vomiting during first 14 weeks affecting the general condition of woman

OR

  • persistent vomiting after 14 weeks & before 20 weeks.
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4
Q

Compare between Morning Sickness & Hyperemesis Gravidarum

A
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5
Q

Pathology of Hyperemesis graviderum

A
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6
Q

Hyperemesis graviderum

  • Biochemical Disorders (Electrolyte Changes)
A

↓↓ Na+ & Clˉ & ↑↑ blood urea.

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7
Q

Hyperemesis graviderum

  • Biochemical Disorders (Metabolic Changes)
A

Hypoglycemia & ketoacidosis (ketone bodies).

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8
Q

Hyperemesis graviderum

  • Biochemical Disorders (Circulatory Changes)
A

Hypovolemia & hemoconcentration

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9
Q

Hyperemesis graviderum

  • Biochemical Disorders (Urinary Changes)
A

Oliguria, Ketonuria, proteinuria & ↑↑ urinary urea

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10
Q

Hyperemesis graviderum

  • Organic Disorders
A
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11
Q

Hyperemesis graviderum

  • Organic Disorders (Liver)
A

fatty degeneration

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12
Q

Hyperemesis graviderum

  • Organic Disorders (Kidney)
A

Tubular & Gomerular degeneration

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13
Q

Hyperemesis graviderum

  • Organic Disorders (Heart)
A

Subendocardial He, degeneration, brown atrophy of the heart

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14
Q

Hyperemesis graviderum

  • Organic Disorders (CNS)
A

Peripheral neuritis, Wernicke’s encephalopathy & Korsakoff’s syndrome

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15
Q

Dx of Hyperemesis Gravidarum

A

…

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16
Q

Dx of Hyperemesis Gravidarum

  • Clinically
17
Q

Investigations for Hyperemesis Gravidarum

  • Blood
18
Q

Investigations for Hyperemesis Gravidarum

19
Q

Investigations for Hyperemesis Gravidarum

  • Urine
20
Q

Investigations for Hyperemesis Gravidarum

  • US
21
Q

Investigations for Hyperemesis Gravidarum

  • Fundoscope
22
Q

DDx of Hyperemesis Gravidarum

23
Q

TTT of Mild Cases of Hyperemesis Gravidarum

24
Q

TTT of Mild Cases of Hyperemesis Gravidarum

  • Fluids
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A

Ample amounts must be taken to avoid dehydration.

25
TTT of Severe Cases of **Hyperemesis Gravidarum** - Isolation
single room & no visitors are allowed
26
In Hyperemesis Gravidarum, Termination of pregnancy is indicated in ......
27
In Hyperemesis Gravidarum, Indication of hospitalization .......
Obstetrics I - OSCE
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