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Old 03-04-2013
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ObGyn Heparin Adverse effects in Pregnancy

A 32 year old woman presents to your office after she discovered that she is pregnant based on a positive home pregnancy test. A repeat urine Beta-HCG is positive in the office. Her past medical history is significant for recurrent deep vein thromboses and homozygosity for Factor V leiden mutation. She has been on coumadin for the past three years. Her physical examination is benign with out any clinical evidence of deep vein thromboses. You advice her to stop coumadin. You prescribe unfractionated heparin at a dose of 5000 IU twice daily to be used through out her pregnancy . This patient is at risk for which of the following?

A) Hypokalemia
B) Fetal malformations
C) Vertebral fractures
D) Complete abortion
E) Thrombocytosis
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Old 03-04-2013
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The answer is D - complete abortion.
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Old 03-05-2013
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Default C) Vertebral fractures

C) Vertebral fractures
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  #4  
Old 03-05-2013
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Default try

Quote:
Originally Posted by add1 View Post
The answer is D - complete abortion.
try again.......
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Old 03-05-2013
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C Due to long term use there is a possibility of decreased bone density.
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Old 03-05-2013
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Oh yes ofcourse. One of the side
effects of heparin is reduced mineral bone density.
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  #7  
Old 03-05-2013
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C) Vertebral fractures
__________________
A man doesn't know what he knows until he knows what he doesn't know.
“What is man? He's just a collection of chemicals with delusions of grandeur.”
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