Page 1 of 4: severe preclampsia

kishorpbarhate · Credits: 2653 My Scrapbook

24 yr woman 36 WOG suddenly complains of headache , blurring of vision , bp = 170/110 , urinary albumin +++& fundus examination shows areas of retinal hmge further line of management

1)conservative
2)anticonvulsant
3)induction of labour
4)caeserian

ans given is 2, but shouldnt it be 4)???

friendy · Credits: 736 My Scrapbook

first anticonvulsant to stable her condition n then go 4 cesarean

drpsg · Credits: 6198 My Scrapbook

HI FRIENDS I AGREE WITH FRIENDLY DR

AS IT IS SHE IS GOIN IN ECPLPTIC STATE AND CAN CONVULSE AT ANY TIME
SO THE BEST MANAGEMENT HERE WOULD BE TO STABILIZE HER BY GIVING HER ANTICONVULSANTS AND PREVENTING CONVULSIONS

AFTER STABILIZATION WE CAN VERY WELL PROCEED WITH C SECTIOON

aafia · Credits: 153 My Scrapbook

yup---anticonvulsant first---patient can fit anytime which can be fatal to motheras well as child.so first concern is to save mother's life n then go for c-section .

redash · Credits: 4278 My Scrapbook

the patient is in pre eclampsia n not in eclampsia. we dont give anti convulsants for pre eclampsia. we have to control her BP with anti hypertensives

friendy · Credits: 736 My Scrapbook

Dear Redash pt's condition is vv criticall.bp170/110,urine albumin3+ n blurred vision.its near eclampsic full bloom.n secondly we r not provided with the option' of anti hypertensives.so it must be' 'anti convulsants'.

desperate · Credits: 5843 My Scrapbook

ha prashna sunday grand test madhye hota , right kishor?
ans shd be CS , gynaec faculty also agreed4 same
go with CS

BRAVO · Credits: 45704 My Scrapbook

its C S

suneet · Credits: 6840 My Scrapbook

IF CS IS FIRST THEN WHAT ABOUT HER CONDITION
QUESTION NEEDS DISCUSSION

captainprasun · Credits: 1661 My Scrapbook

doesnt conservative management means...
to maintain vitals...and also BP and then wait..!!

any thoughts on this.

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