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  #1  
Old 08-29-2012
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Default Pediatric Question

A 23 year old primigravid woman at 29 weeks gestation comes to the physician because of contractions.She sates that they have been occuring every 3-5 minutes for the past few hours and they are worsening in intensity.Examination reveals that the patient is afrebrile and her abdomen is tender.Her cervix is 3 cm dilated,and the fetus is in vertex position .the patient is started on IV Magnesium Sulfate and penicillin and is given an IM injection of beclomethasone.Which of the following represents the most common complication of very-low-birth(LBW) infants?

A. Intracranial hemorrhage
B. Late-onset sepsis
C. Necrotizing enterocolitis
D. Patent Ductus arteriosus
E. Respiratory distress syndrome
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  #2  
Old 08-30-2012
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Try Try Try everyone !!
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Old 08-30-2012
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RDS ...... 60 to 80 % infants have it if born prematurely , less than 29 wks ......
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Lol nice question all of them are common complications

Almost all have PDA, a lot will suffer from necrotizing enterocolitis and more than half will suffer from Intraventricular hemorrhage.

I will choose E just for fun
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B. Late-onset sepsis. (in this patient)
Although she is already on penicillin it does not prevent late-onset sepsis caused by Gram negatives (Pseudomonas) & MRSA


A. Intracranial hemorrhage (?) not as common as PDA or RDS

C. Necrotizing enterocolitis (1-8%)

D. Patent Ductus arteriosus (80%) in general

E. Respiratory distress syndrome (60%) & already started on beclomethasone.

Quote:
The incidence of RDS in preterm infants has been significantly reduced with the use of antenatal steroids to promote lung maturity; an additive effect was seen with the use of both antenatal steroids and early surfactant treatment. The use of antenatal steroids also has been linked to a reduction in the incidence of clinically significant patent ductus arteriosus (PDA) and severe intraventricular hemorrhage (IVH); however, concerns have surfaced regarding neurodevelopmental sequelae of repeated antenatal courses of steroids.

Last edited by Novobiocin; 08-30-2012 at 03:12 PM.
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E. Respiratory distress syndrome
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Quote:
Originally Posted by step_enhancer View Post
A 23 year old primigravid woman at 29 weeks gestation comes to the physician because of contractions.She sates that they have been occuring every 3-5 minutes for the past few hours and they are worsening in intensity.Examination reveals that the patient is afrebrile and her abdomen is tender.Her cervix is 3 cm dilated,and the fetus is in vertex position .the patient is started on IV Magnesium Sulfate and penicillin and is given an IM injection of beclomethasone.Which of the following represents the most common complication of very-low-birth(LBW) infants?

A. Intracranial hemorrhage
B. Late-onset sepsis
C. Necrotizing enterocolitis
D. Patent Ductus arteriosus
E. Respiratory distress syndrome
well the Qs is tricky here that its asking for the complications in general not referring to the child above , the above whole case appears to be just for wasting your time .........
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Old 08-30-2012
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Answer A. Intracranial hemorrhage occurs in 32% of VLBW

Choice B. Late onset sepsis occurs in 25 %

Choice C. occurs in 2 to 10%

Choice D.occurs in 30%

Choice E. Respiratory distress syndrome occurs in 23% of VLBW

The most common complication of VLBW is Intracranial hemorrhage
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