03-30-2007, 10:20 AM
c ??
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good question - kallastro
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03-30-2007, 10:28 AM
can't be anwser C, b/c preecplampsia is a condition only seen during pregnancy
03-30-2007, 10:56 AM
B. Postpartum cardiomyopathy leading to pulmonary edema
03-30-2007, 11:22 AM
answer is D...
It is important to consider preeclampsia even after delivery, since it may occur from 20 weeks of gestation until 4 weeks postpartum. It is characterized by hypertension (BP = 140 mm Hg systolic or =90 mm Hg diastolic in a person previously undiagnosed with hypertension after the 20th week of gestation). In addition, 0.3 g of proteinuria should be present in a 24-hour sample (usually corresponding with 1+ protein on urine dipstick testing). Patients may present postpartum with severe hypertension and sudden-onset shortness of breath (caused by pulmonary edema), abdominal pain, visual disturbance, headache, or seizures. Magnesium sulfate is used to prevent seizures in patients with severe preeclampsia and to treat seizures in eclamptic patients. References Gregg AR. Hypertension in pregnancy. Obstet Gynecol Clin North Am. 2004;31:223-241. Wagner LK. Diagnosis and management of preeclampsia. Am Fam Physician. 2004;70:2317-2324. Chames MC, Livingston JC, Ivester TS, et al. Late postpartum eclampsia: a preventable disease? Am J Obstet Gynecol. 2002;186:1174-1177.
03-30-2007, 11:28 AM
it........D
It is important to consider preeclampsia even after delivery, since it may occur from 20 weeks of gestation until 4 weeks postpartum. It is characterized by hypertension (BP = 140 mm Hg systolic or =90 mm Hg diastolic in a person previously undiagnosed with hypertension after the 20th week of gestation). In addition, 0.3 g of proteinuria should be present in a 24-hour sample (usually corresponding with 1+ protein on urine dipstick testing). Patients may present postpartum with severe hypertension and sudden-onset shortness of breath (caused by pulmonary edema), abdominal pain, visual disturbance, headache, or seizures. Magnesium sulfate is used to prevent seizures in patients with severe preeclampsia and to treat seizures in eclamptic patients. References Gregg AR. Hypertension in pregnancy. Obstet Gynecol Clin North Am. 2004;31:223-241. Wagner LK. Diagnosis and management of preeclampsia. Am Fam Physician. 2004;70:2317-2324. Chames MC, Livingston JC, Ivester TS, et al. Late postpartum eclampsia: a preventable disease? Am J Obstet Gynecol. 2002;186:1174-1177.
03-30-2007, 11:28 AM
03-30-2007, 11:37 AM
any comments...
i'm still not convinced... why not b?? kallastro??anyone?? thanks |
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