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  #1  
Old 08-18-2012
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ObGyn IUGR with a Twist!

Pt from zimbabwe G1 P0 (recent immigrant), presents in 34th week of pregnancy for 1st pre-natal check up with a H/O no pre-natal care. Ultrasound findings show lower than expected fetal length and markedly reducedl fetal head circumference. Which of the following could've prevented this condition?
1 Folic acid supplements
2 MMR vaccination
3 Zidovudine treatment
4 Malaria prophylaxis
5 Smoking cessation
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Old 08-18-2012
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MMR vaccination........
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Old 08-18-2012
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Ah, stupid recall.

Its MMR.

Had Pt not been from Zimbabwe.. what would be the answer guys? I know you guy's know this...........
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Old 08-18-2012
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why its not smoking cessation ?
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Old 08-18-2012
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assymetric iugr is seen with uteroplacental insuffiiency as occurs with smoking.here the head is smaller as well so it symmetric.symmetric occurs with TORCH and hromosoml abnormalities.she is from another country and most likely did not receive her childhood MMR
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Old 08-18-2012
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Quote:
Originally Posted by sonu.agarwall View Post
assymetric iugr is seen with uteroplacental insuffiiency as occurs with smoking.here the head is smaller as well so it symmetric.symmetric occurs with TORCH and hromosoml abnormalities.she is from another country and most likely did not receive her childhood MMR
thanks a lot ,i got it !
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Old 08-18-2012
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Default intrauterine infection

Quote:
Originally Posted by rocketprinciple View Post
Pt from zimbabwe G1 P0 (recent immigrant), presents in 34th week of pregnancy for 1st pre-natal check up with a H/O no pre-natal care. Ultrasound findings show lower than expected fetal length and markedly reducedl fetal head circumference. Which of the following could've prevented this condition?
1 Folic acid supplements
2 MMR vaccination
3 Zidovudine treatment
4 Malaria prophylaxis
5 Smoking cessation
2. MMR vaccination: toRUBELLAch infection can lead to intrauterine infection.

Why hormonal problems can also lead to symmetric IUGR??

I though symmetric IUGR is fetal problem( anatomic anomoly, infection)
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Old 08-18-2012
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Quote:
Originally Posted by chienpolska View Post
2. MMR vaccination: toRUBELLAch infection can lead to intrauterine infection.

Why hormonal problems can also lead to symmetric
I though symmetric IUGR is fetal problem( anatomic anomoly, infection)
thats chromosomal not hormonal...lol the letter C wasnt printed
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