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  #1  
Old 05-07-2010
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ObGyn What to do with this eclamptic patient?

A 14-year-old G1P0 woman who is 29 weeks pregnant with twins presents to the emergency department (ED) following a seizure. She was watching television and stood up to go to the bathroom when she “fell down and started shaking.” The patient has no history of seizures and is otherwise healthy. She missed her last obstetrician’s appointment, and her aunt states that her niece has had a lot of headaches and swelling over the past 2 days. On examination, she is somnolent and difficult to arouse, and has edema of her hands and face. Her vitals are blood pressure 205/120 mm Hg, pulse 80/min, and respiratory rate 16/min; the fetal heart rate is 130/min. Which is the most correct advice for the patient’s aunt?

(A) Your niece has a life-threatening condition called eclampsia, and needs to be put on strict bed rest and monitored until the baby can be delivered at term
(B) Your niece has a life-threatening condition called eclampsia, and the baby needs to be delivered as soon as possible
(C) Your niece has a life-threatening condition called eclampsia, but this can be managed with anti-seizure medications until the baby can be delivered at term
(D) Your niece has a life-threatening condition called preeclampsia, and needs to be put on strict bed rest and monitored until the baby can be delivered at term
(E) Your niece has a life-threatening condition called preeclampsia, and the baby needs to be delivered as soon as possible
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  #2  
Old 05-07-2010
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I think B
Because seizures indicate eclampsia in this hypertensive and oedematous pregnant
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Old 05-07-2010
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There is an old aphorism, dating from the era of Hippocrates (maybe even longer ago...): The treatment of eclampsia is delivery. Dr. tomymajor's rationale is totally correct.
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Old 05-07-2010
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Answer is B

Rule says:

Definitive treatment for severe pre-eclampsia (such as eclampsia) is delivery
regardless gestational age

First, we will stabilize mother by lowering her Blood Pressure &
Anti-Convulsant(Mg2SO4).
Then,delivery
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Old 05-07-2010
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Default eclampsia

Definitive Treatment is Stabilize d patient with anti epileptic drugs..Decision to deliver the patient must be taken as soon as d condition is stabilised.Delaying delivery 2 increase the fetal maturity ll risk d lives of both mother n d fetus.After an eclampic fit , labour often ensues spontaneously. It can b induced succesfully even in patients remote from term..

Serious morbidity is less common in puerperium in women delivered vaginally.
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  #6  
Old 05-19-2010
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Correct Answer Correct answer is B

You guys have all get it right

This eclampsia and you need to deliver the baby
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