28yr female second gravida 34 wks pregnancy C/o swelling p/v ass with itchnig,swelling lower ext Inv hb 8gm%,hiv auag bsl nrml urine alb +, Bp 160/100,p100/min,pitting odema ,pallor ++,odema++ P/v swelling is due to wt pls diagnosis pls

2 Likes

LikeAnswersShare

vulvo vaginal swelling is due to PIH and anemia. Get her Lft Kft daily urine alb CBC START on lobetelol and aldomet . Get her usg colour dopplar. If blood test are deranged or any uteroplacental insufficiency deliver her.magsulf can be started if impending eclampsia signs are there. Mode of del can be decided accordingly. If cx favourable prev normal del go for ND

Thanks ma'am
1

View 2 other replies

Do management according to dr.priyanka for pET.here HB 8 GM% so correct it by iron sucrose.also edema of labia minors bilaterally so puncture it by sterile needle and put mgso4 powder and glycerine pack over it.do Doppler study for fetal well being.plan delivery according your report.

Thanks ma'am
1

View 2 other replies

it looks like labial swelling and ur patient is pre eclamptic Start her with tab alpha dopa 250 mg tid, tab depin 10 mg od Regular bp monitoring. Fetal kick count chart to be maintained. Steroid prophylaxis with betnosol. Usg to rule out iugr, fr afi, efw. Doppler to r/o any doppler changes. Educate the patient about warning signs of eclampsia like headache, blurring vision etc. Also do lft, coagulation profile, serum uric acid. If evrything goes well till 37 weeks, then deliver her.

Thanks ma'am
0

View 1 other reply

This is a perineal swelling due to PIH ., anemia and hypoproteinemia.. 34wks. Can give a chance to the fetal survival. Admission . Monitoring BP NST and tab calcigard /alphadopa either one or in combination with work. Hydrocortisone dosage for fetal lings. Perineal discomfort is greatly released by magnesium sulphate dressing will releave the swelling

Thanks ma'am
0

View 1 other reply

Odema is part of pre eclampsia. Diuretic can help to some extent . During labour removing odema fluid by puncturing with sterile needle under aseptic conditions can be done to facilitate normal delivery .

Thanks ma'am
1

View 1 other reply

Pretty eclamsia

Case of preeclampsia with anaemia Please keep her admitted give steroids, for fetal lung maturity, antihypertensives acc to cardiologist, investigate her fully like LFT n RFT do daily urine albumin , input/ output charting, n ask her to take bed rest , do feral surveillance as well side by side The swelling is because of hypoproteinemia so ask her to take high protein diet ,

Vulval edema due to PET relived after delivery trt PET.If even pedal edema persists after delvery should suspect persistent albuminuria.,should cautious till 6wks completed.If vulval edema causes discomfort to move either antenatal or postnatal multiple needle punctures can be given &put gauze saoked in zipsom salt dissolved in glycerol reduces the edema

Vilval edema due to PET usually relieved after the albuninria comes down to normal ,after delivery even if pedal not reduced check for albumin &should be vigilant for 6wks.After delivery or. Antenatally if vulval edema discomfort to pt to move can be relieved by multiple needle punctures to skin&application of gauze soaked in zipsom salt dissolved glycerol

ANC with anaemia ,Hypoprotenemia ,PIH.Rx is complete bed rest,high protein diet n antihypertensive drugs.For labia swelling mahaul glycerine pack repeatedly and dietetics to be given with monitoring of electrolyte.

Load more answers

Diseases Related to Discussion