cases

Question 0

DIC

Answer 0

complex systemic thromboheorrhagic disorder that uses intravasclar fibrin, consumption of procoagulants and platelets

Question 1

waterhouse-friderichsen syndrome

Answer 1

overwhelming bacterial infection common caused by Neisseria meningitidis septicemia

rapidly progresses to hypotensionand shock

DIC with widepsread purpura

bilateral adrenal hemorrhage because bacteria settle in small vessels

Question 2

mechanism DIC

Answer 2

initiation of coagulation via endothelial injury/tissue damage

• ->subsequent release of procoagulant material in the form of cytokines and tissue factors
• ->platelet mediated fibrin formation
• ->generalized bleeding–>hypperfusion, infarction, and end-organ damage

Question 3

HSV can be vertically transmitted to infant before, during, orafter delivery

Answer 3

antenatal-5%
intra partum- passage through birth control- 75% asymptomatic
postnatal- cntact

Question 4

antenatal

Answer 4

primary infection- transcient viremia occurs

findings are similar to TORCH infectins (microcephaly, micropthalamia, intracranial calcifications