ECLAMPSIA Flashcards

1
Q

WHAT IS ECLAMPSIA ?

A

ONE OR MORE CONVULSION IN ASSOCIATION WITH PRE-ECLAMPSIA.

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2
Q

WHAT IS ECLAMPSIA NOT ALWAYS PRECEDED BY ?

A

HYPERTENSION AND PROTEINURIA

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3
Q

INCIDENCE OF ECLAMPSIA

A

2.7 OF 10,000 BIRTHS POST 24 WEEKS.

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4
Q

INCIDENCES OF ECLAMPSIA
POSTPARTUM

A

44%

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5
Q

INCIDENCE OF ECLAMPSIA

ANTEPARTUM

A

38%

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6
Q

INCIDENCE IN ECLAMPSIA

INTRAPARTUM

A

18%

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7
Q

WHAT IS RECURRENCE RATE OF ECLAMPSIA?

A

5-30%

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8
Q

IS ECLAMPSIA TIME CRITICAL?

A

YES

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9
Q

SIGNS AND SYMPTOMS OF ECLAMPSIA

A

HEADACHE
OEDEMA
RIGHT SIDED UPPER ABDO PAIN
NAUSEA
VOMITING
BLURRED VISION
CONFUSION
FITS

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10
Q

WHAT ABOUT PRE-ECLAMPSIA ? THE PATHOPHYSIOLOGY

A

PATHOPHYSIOLOGY OF PREECLAMPSIA IS UNKNOWN.

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11
Q

HOW WILL ECLAMPSIA PRESENT?

A

TONIC CLONIC SEIZURES WITH JERKING LIMB AND HEAD MOVEMENTS.

CYANOSIS
TONGUE BITING
URINARY INCONTINENCE

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12
Q

HOW LONG DO ECLAMPSIA SEIZURES USUALLY LAST?

A

90 SECONDS AND USUALLY SELF RESSOLVE

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13
Q

DIFFERENTIAL DIAGNOSIS FOR ECLAMPSIA

IN THE EVENT OF RECURRENT/PROLONGED SEIZURES THAT ARE UNRESPONSIVE TO MAGNESIUM SULPHATE CONSIDER?

A

HYPOGLYCEMIA
Hyponatremia
Intracranial haemorrhage
Epilepsy
Space-occupying cerebral lesion or cerebral vein thrombosis

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