Lectures

Preeclampsia

by Carlo Raj, MD
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    Our topic here is preeclampsia. We have dealt with preeclampsia in a number of our topics. And the reason for that is because of the signs and symptoms that the pregnant woman is going to exhibit and and really it touches upon a few different places. For example, we had mentioned this in nephrology and the reason for that is because the pregnant woman is going to be losing protein in the urine. At this juncture, I would not worry about the exact amount, that’s a little controversial, but you definitely know that the pregnant woman is losing protein in her urine. If she’s losing urine or if she’s losing protein in the urine, she’s also losing oncotic pressure. So now you can imagine that a pregnant woman, usually in her third trimester -- third trimester – is experiencing edema, and there might be greater than expected weight gain for her gestational age. What else are you going to find in preeclampsia? There might be hypertension. In fact, there is. Meaning to say that it could be as high as 160/90. This is not good. When there is such hypertension taking place and you’re dealing with pregnancy, there’s very possibility that she might have abrupt separation of the placenta from the uterus And we call this what? We call this abruptio placenta. Next, proteinuria, edema in third trimester. But why do we call this pre-eclampsia? The onset of seizures would mean eclampsia. So pre-eclampsia is before the onset of seizures. So what does that mean to you as a clinician? You do everything in your power to make sure you prophylactically treat your pregnant woman or you prevent the onset of seizures. Once seizures kick in, once again, there might be abruptio placenta. In addition, there might be mixing of...

    About the Lecture

    The lecture Preeclampsia by Carlo Raj, MD is from the course Pregnancy Complications.


    Included Quiz Questions

    1. Delivery of the fetus
    2. Methyldopa
    3. Bed rest
    4. ACE inhibitors
    5. Magnesium sulfate
    1. Seizures
    2. Hypertension
    3. Low platelets
    4. Edema
    5. Proteinuria
    1. Magnesium sulfate
    2. Delivery of the fetus
    3. Methyldopa
    4. Bed rest
    5. Oxygen

    Author of lecture Preeclampsia

     Carlo Raj, MD

    Carlo Raj, MD


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