Differential Dx Of Presenting Complaints In Pregnancy

Question 1

Breathlessness

Answer 1

P - Pneumonia
O - Other Cardiac Causes
P - Peripartum Cardiomyopathy
P - Pneumothorax / Pneumomediastinum
A - Anaemia

M - Mitral Stenosis
A - Asthma

P - Pulmonary Embolus
P - Physiolgical
H - Hyperventilation / Anxiety

Question 2

Palpitations

Answer 2

P - Physiological
T - Thyrotoxicosis
S - Sinus tachycardia

S - Supraventricular tachycardia
P - Phaechromocytoma
E - Ectopic beats

Question 3

Hypertension

Answer 3

Pregnancy

• Gestational
• Pre-eclampsia

Pre-existing
- White-coat
- Essential
- Secondary
C - Conn’s
C - Cushing’s
C - Cardiac hypertension, coarctation of the aorta
R - Renal - CKD e.g. reflux nephropathy, diabetes, glomerulonephritis, polycystic kidney disease, renal artery stenosis
P - Phaeochromocytoma

Question 4

Headache

Answer 4

C - Cerebral venous thrombosis
H - Hypertension
E - Epidural related
S - Sub-arachnoid haemorrhage
T - Tension 
S - Space-occupying lesion

M - Meningitis
R - Reversible vasoconstriction syndrome
D - Drug related headache
I - Idiopathic intracranial hypertension
M - Migraine