Primi pt with 39 weeks of pregnancy with usg s/o unilateral multicystic dysplastic kidney with severe oligohydramnios with symmetric iugr(efw 1.6 kg) with BP 150/100....kindly opine line of management
Termination of pregnancy after injection betamethasol 12mg Stat then after 24hours....till then control BP with tb labetalol100 twice and tb methyl dopa thrice.... Go for LFT and KFT and coagulation profile... Then plan for Lscs..... With magnesium sulfate regime..... And good coordination with nicu
Terminate this pregnancy via C section in a hospital with level 3 NICU . If eminent signs of eclampsia at present than give Mgso4 regime If not keep a watch on BP , termination of pregnancy will result in reduction of BP if raised give diuretics in post op period
Termination of pregnancy as pt is 39wks where nicu setup is present and and workout mothers PIH profile. Mode of delivery may be lscs
Admit Control her BP Check her liver, renal, clotting profiles Inform Pediatrician and Nicu. Plan elective lscs. Postnatal usg abdomen, renal function tests for neonate.
Needs termination mode of termination to be decided after AFI and Doppler and 'after seeing biochemical parameter of p I h profile
Termination of pregnancy after 2 doses of inj. Betamethasone12mg with a good NICU set up
Explain pt and relatives about the maternal condition and fetal condition. Do Complete hemogram , RFT,LFT, uric acid. Urine albumin. Start tab labet 100 mg bd and cap depin 5 mg SOS if BP >/= 160/110 mmHg. Watch for imminent signs. Plan for Caesarean section as there are more chances of fetal distress if induced for normal vaginal delivery due to severe oligohydramnios. Post natal neonatal evaluation. Ensure NICU setup
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A patient aged 35 years came for antenatal check up . Married life 10 yrs. G3 P1 L1 A1 pr LSCS. I : LSCS / All male child 8 yrs.No antenatal complications. II : MTP III : PP LMP 17-7-16. EDD 24-4-17. GA 28.5.weeks. B.P : 170/110. PT has raised B.P since 3 months on tab labetalol 100 mg tid .In spite of labetalol,now B.P is 170/110.urine albumin +++. Generalized anasarca. Scan shows IUGR and oligohydramnios.How to proceed further??
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primi with 9MA with LMP:12-6-2016.. came with c/o bellding p/v sive last night..painless..ass with vomitings nd tightness of abdomen.. percieving foetal movements well.. with known case of PIH..on regular medication.. no pedal oedema..vitals.PR:110/MIN BP:150/100mmhg afebrile..os tightly admitting 1finger with darkred staining of glove.. furthur management..
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A 2 month old male infant presented with history of oligohydramnios. Ultrasound images of the left kidney and liver and Contrast-enhanced CT images of the abdomen are uploaded.
Dr. Sambhavi Gupta0 Like9 Answers - Login to View the image
Clinical History: A 24-year-old primigravida is now in the 18th week of her pregnancy and has felt minimal fetal movement. An ultrasound shows a markedly decreased amniotic fluid volume, and the male fetus is, therefore, poorly visualized. The fetal kidneys appear enlarged and cystic, though one kidney appears larger than the other, and the renal pelves are not enlarged. The bladder appears quite small. The pregnancy continues until 34 weeks, when a preterm delivery results from preterm labor. The baby survives less than 5 minutes. Representative images for this patient: The microscopic appearance of the kidneys is seen here at low power. How does this differ from normal kidney? One of the kidneys is seen here. Describe what you see. The genitourinary tract is dissected to reveal both kidneys and the tiny bladder. Questions: 1) What is the embryologic abnormality? 2) What is a karyotype likely to show? 3) How do you explain the decreased amniotic fluid? What is this called? 4) What other cystic disease of the kidneys can be congenital? 5) What is the recurrence risk in this case? 6) Name the most common urinary tract anomaly.
Shakthi Kumaran8 Likes8 Answers - Login to View the image
G3P2L2 with 31 wks preg came in OPD for ANC Patient was on Cap Depin 10mg TDS from20th wks then last 3days shifted on Tb Nicardia 10mg TDS G1_ FTLSCS HO ECLAMPSIA G2_FTND NO HO PIH NOW BP fluctuate between 140 /100 to 120/90 Urine alb trace PIH profile is done Kindly guide for further management
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