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Pre- eclampsia
Impending
Eclampsia
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A
C
D
E
P
R
alcho
lcoarctation of
aorta
drugs
Endocrine
disease
PIH
renal disease
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DBP110 or more
Increase in SBP by 30 mmHg
Increase in DBP by 15mmHg
2 read of MABP 105 or more OR increase by 20
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Aetiology:
???
Not related to the fetus or uterus
Failure of placentation
Abnormal lipid metabolism
Decrease Ca++ in diet
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Risk facctors:
Primigravida
age
Past history
Change the
husband
Condition in which
placenta enlarge
Pre-existing
disease
Low socioeconomic
Risk factor
decrease :
Smokers
Prolong exposure to
paternal antigen
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SYSTEMIC EFFECTS
1.
2.
3.
4.
5.
CVS
Blood
Renal system
Liver
CNS
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PRE-ECLAMPSIA
Symptoms: may be
Asymptomatic
Headache
Visual disturbance
Epigastric pain
oedema
Sign: may be
High BP
Fluid retension
Brisk reflexs
Fundel level less
than date
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Symptoms:
Headache
Visual disturbance
Epigastric pain
Nausea
Restlessness
Swelling
Poor urine output
signs:
Agitation
Hyperreflexia
Facial &peripheral
oedema
Rt upper quadrant
tendernes
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Eclampsia
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CLINICAL FEATURE
it is grand mal convulsion which pass
through stages of:
1. Tonic contraction
2. Clonic
3. Coma
Usually take about 60-90 seconds.
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DIFFERENTIAL DIAGNOSIS
1.
2.
3.
4.
Epilepsy
CVA
SOL
Drugs reaction
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MANAGMENTS
Aim of it :
1-maintain patent airways
2-prevents the fits
3-terminate the pregnancy
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1.
2.
3.
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1.Prematurity
2.placenta infarction
3.IUGR
4.Abruptio placentae
5.Fetal hypoxia
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