Emergencies & Postpartum

Question 1

risk factors for placental abruption

Answer 1

1. maternal HTN
2. preeclampsia
3. smoking
4. cocaine
5. abdomen trauma

(abruption is d/t social risk factors (except HTN, preeclampsia); preeclampsia is d/t disease & demographic risk factors)

Question 2

why is there no change in the ICF volume with hemorrhage, but there is a change in the ECF volume?

Answer 2

it is isotonic volume loss, this won’t drive volume into the ECF

(infusion is another example, if normal saline)

Question 3

berry aneurysms a/w (5 risk factors)

(cauases subarachnoid hemorrhage)

Answer 3

1. PKD
2. ED
3. aortic co-arctation
4. elderly
5. HTN
6. smoking

Question 4

Subarachnoid hemorrhage (berry)
causes Bleeding into the…

Answer 4

CSF space

btwn arachnoid & pia mater

Question 5

subarachnoid hemorrhage sx (3)

(usu d/t aneurysm rupture)

Answer 5

1. fever
2. nuchal rigidity
3. sudden onset “worst HA of their life” aka “thunderclap HA”

NO FOCAL DEFECITS

Question 6

subarachnoid hemorrhage sx

Answer 6

1. sudden onset “worst HA of my life”
2. fever
3. nuchal rigidity

Question 7

subarachnoid hemorrhage is MC d/t

aka intraparenchymal bleed

Answer 7

1. ruptured berry aneurysms
2. AVM

Question 8

intraventricular hemorrhage occurs in…

Answer 8

newborns

bleeding into lateral ventricals

Question 9

intraventricular hemorrhages obstructs the

bleeding into lateral ventricals

Answer 9

foramen of monro

Question 10

intraventricular hemorrhages occur d/t

Answer 10

underdeveloped germinal matrix (premature babies have poor autoregulation of blood flow here)

Question 11

why does HF or hemorrhage cause a cold sweat but sepsis causes a hot sweat?

Answer 11

both have massive SNS activation, but sepsis has fever from infection–>warm skin