Eclampsia

Question 1

When dose pre eclampsia occur?

Answer 1

After 20 weeks gestation and can occur up to 6 weeks post delivery

Question 2

What condition is defined as pre-eclampsia plus seizures?

Answer 2

Eclampsia

Question 3

What is a key feature of pre-eclampsia related to the placenta?

Answer 3

An abnormal placenta with narrower vessels

Question 4

What is the diagnostic criteria for hypertension in pre-eclampsia?

Answer 4

Systolic BP greater than 140 or diastolic over 90

Question 5

What serious complications can high blood pressure lead to in pre-eclampsia?

Answer 5

Hemorrhagic stroke or placental abruption

Question 6

What leads to seizures and thus eclampsia in pre-eclampsia?

Answer 6

Cerebral edema

Question 7

What is the primary treatment for pre-eclampsia?

Answer 7

Delivery of the fetus and placenta plus symptomatic management

Question 8

indications for out-of-scope magnesium

Answer 8

1.? eclampsia, seizure 20 w, no hx epilepsy

2. pre-eclampsia. (headache/agitation + agitation) in patients more then 20 weeks

Question 9

basic outline of the patho of pre eclampsia

Answer 9

he aetiology of pre-eclampsia is not well understood, but is thought to be caused by poor placental implantation and/or abnormalities of placental vessels. This leads to placental hypoperfusion, a systemic inflammatory response, and foetal growth restriction.

Question 10

GI presentations of pre-eclampisa

Answer 10

nausea and vomiting and epigastric or abdominal pain.

Question 11

cardiovascular sx of pre eclampsia

Answer 11

hypertension, haemolysis, vascular endothelial leak (causing oedema) and decreased plasma volume.

Question 12

neuro ex of pre eclampsia

Answer 12

headache, visual disturbance, hyperreflexia and cerebral haemorrhage.

Question 13

WFA diagnostic criteria for pre eclampsia

Answer 13

A systolic blood pressure of greater than 140 mmHg, and/or a diastolic blood pressure of greater than 90 mmHg, and
More than 20 weeks gestation, and
Proteinuria (protein in the urine).