HTN in pregnancy Flashcards

1
Q

HTN prior to 20 weeks ?

A

chronic HTN

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2
Q

HTN occur after 20 weeks ?

A

gestational HTN

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3
Q

HTN persists post delivery which type ?

A

chronic HTN

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4
Q

HTN RESOLVE - NORMAL BP - 6 weeks after post delivery ?

A

gestational HTN

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5
Q

Anti-hypertensive drugs name in Preganancy ?

A

Hydralazine
Alpha-methyl-dopa
Labetalol
Nifedipine

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6
Q

why gestational HTN ?

A

INC blood volume
INC circulatory load

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7
Q

Gestational HTN + Proteinuria + Organ dysfunction = ?

A

Pre-eclampsia

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8
Q

pre-eclapsia + seizure ?

A

eclampsia

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9
Q

how to prevent seizure ?

A

Mg sulfate

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10
Q

maternal complications in case of eclampsia ?

A

renal failure
stroke
ARDS

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11
Q

fetal complications in eclampsia ?

A

placental abruption
uteroplacental insufficeincy

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12
Q

pre-eclampsia + thrombotic microangiopathy of liver = ?/

A

HELLP syndrome

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13
Q

HELLP syndrome m]features ?

A

H = hemolysis
E = Elevated Liver enzymes
Low Platelets

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14
Q

abnormal placental spiral arteries - fate ?

A

pre-eclampsia

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15
Q

No HTN & Proteinuria = ?

A

HELLP syndrome

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16
Q

HELLP syndrome - CBC ?

A

schistocytes

17
Q

complications of HELLP ?

A

hepatic subscapular hematoma - rupture - severe HTN

DIC - due to release of tissue factor from injured Placenta

18
Q

what if Pre-eclampsia occur before20 weeks of gestation ?

A

molar pregnancy

19
Q

which immunological defect in Eclampsia ?

A

Anti-phospholipid syndrome - APS

20
Q

Prophylaxis of pre-eclampsia ?

A

aspirine

25.4.2025
7.20PM