renal

Question 1

a) vis glucosuria normal in pregnancy?
b) when to go for OGTT?

Answer 1

a) normal but if > 1+ leads to future GDM
b) dipstick : persistent glycosuria +1 or isolated +2

Question 2

proteinuria indication for ?

Answer 2

proteinuria >= +2 or > = 300mg/ day indicates pre eclampsia

Question 3

asymptomatic bacteruria
a) m/c
b) RF
c) screening
d) leads to

Answer 3

a) E.Coli
b) diabetes, sickle cell trait
c) done in 1st ANC visit - u/c and sensitivity or leukocyte esterase / nitrite dipstick
d) preterm labour, symptomatic bactreruria, pyelonephritis

Question 4

a)treatment for asymptomatic bacteruria
b) rx failure
c) recurrence > 1 time

Answer 4

a) AMOXICILLIN , AMP I CILLIN , CEPHALO SPORIN, NITROFURRANTOIN @ bedtime x 10 ays
b) NITROFURRANTOIN x 21 days
c) NITROFURRANTOIN 100mg @ bedtime for rest of pregn

Question 5

leading cause of septic shock in pregnancy
causes what in preterm newborns

Answer 5

acute pyelonephritis
causes cerebral palsy in preterm newborns

Question 6

management of acute pyelonephritis

Answer 6

hospitalise the pt
invgts and monitor vitals repeat after 48 hours
IV Fluids - u/o @ > = 50 mml/hr
IV antibiotics - AMPICILLIN + GENTAMICIN
pt afebrile shift to oral antibiotic
after 24 hr - ds on antibiotic therapy x 7 - 10 days
repeat u/c after 1-2 weeks after completing antibiotic therapy