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antepartum haemorrhage

 
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farha
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Joined: 18 May 2007
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PostPosted: Wed May 07, 2008 6:04 pm    Post subject: antepartum haemorrhage Reply with quote

1Placental abruption may be associated with maternal intake of cocaine

2. Autoimmune thromocytopenia is the commonest immune cause of APH

3. Placenta praevia is associated with an increased risk of IUGR

4. Placenta praevia is associated with increased risk of prematurity

5. Ruptured uterus is associated with only revealed haemorrhage
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farha
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PostPosted: Wed May 07, 2008 6:53 pm    Post subject: antepartum haemorrhage Reply with quote

. Few more MCQS on Antepartum haemorrhage

Ruptured uterus is unlikely to be associated with previous myomectomy

2. If there is associated coagulation failure, the platelet count is usually low

3. In coagulopathy, the fibrin degradation products promote coagulation

4. Coagulopathy is usually associated with a rise in thromboplastin

5. APH is associated with an increased risk of PPH

6. Placenta praevia is commoner following previous myomectomy

7. Placental abruption may be associated with folate deficiency
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Shinelkimo



Joined: 25 Apr 2007
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PostPosted: Thu May 08, 2008 11:27 am    Post subject: Re: antepartum haemorrhage Reply with quote

farha wrote:
.
7. Placental abruption may be associated with folate deficiency


f
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Shinelkimo



Joined: 25 Apr 2007
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PostPosted: Thu May 08, 2008 11:37 am    Post subject: Re: antepartum haemorrhage Reply with quote

farha wrote:
1Placental abruption may be associated with maternal intake of cocaine

T
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farha
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PostPosted: Thu May 08, 2008 3:05 pm    Post subject: antepartum haemorrhage Reply with quote

Dear shine T and F are not enough please write explanation and quote refrences and answer of stem 7 is true as u did not notice word MAY because may is mostly true and it is association not the cause.
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salihabduallah
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PostPosted: Fri May 09, 2008 8:10 am    Post subject: Reply with quote

Some more :

1- Placental abrubtion is associated with :

- Chorioamnionitis.
- Thrombophilia.

2- 35% Placental saparation is associated with significant still birth.

3- 40 % of pl. abrubtion is concealed.

4- US is reliable in diagnosis.


Cool
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salihabduallah
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PostPosted: Fri May 09, 2008 8:11 am    Post subject: Re: antepartum haemorrhage Reply with quote

farha wrote:


3. Placenta praevia is associated with an increased risk of IUGR



I'll go for True as there might be defective placentation.
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cpeedahsa
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PostPosted: Fri May 09, 2008 12:41 pm    Post subject: Re: antepartum haemorrhage Reply with quote

farha wrote:
1Placental abruption may be associated with maternal intake of cocaine

True

Cocaine increases maternal arterial blood pressure, decreases uterine blood flow, and transiently increases fetal systemic blood pressure.

Perinatal complications associated with cocaine :
    -Spontaneous abortion and stillbirths
    -Placental abruption
    -Preterm labor and delivery
    -Intrauterine growth retardation
    -Fetal hypoxemia and distress
    -Fetal vascular accidents


Cocaine-exposed infants manifest neurobehavioral abnormalities initially described as drug withdrawal, but are more likely due to acute intoxication, including:
Perinatal Substance Abuse
    -Hypertonicity, irritability, tremors
    -Tachycardia
    -Abnormal cry, sleep and feeding patterns
    - Tachypnea, apnea


Medical management usually involves only behavioral and soothing methods. Signs are present at birth or at a few days of life, and decrease as cocaine and its metabolite, benzoylecgonine, are cleared.
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farha
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PostPosted: Fri May 09, 2008 3:15 pm    Post subject: antepartum haemrrhage Reply with quote

perfect ahsa
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salihabduallah
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PostPosted: Fri May 09, 2008 5:36 pm    Post subject: Reply with quote

T / F

- Smoking is a risk factor for developing placenta praevia
-TVU can detect placenta accreta.
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rpwalavalkar
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Joined: 20 Jul 2006
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PostPosted: Wed Jun 04, 2008 6:42 pm    Post subject: Reply with quote

salihabduallah wrote:
T / F

-TVU can detect placenta accreta.


True -- ultrasound, power amplitude ultrasonic angiography, MRI and colour flow doppler can all detect

ref -- RCOG guidelines
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rpwalavalkar
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PostPosted: Wed Jun 04, 2008 6:50 pm    Post subject: Reply with quote

salihabduallah wrote:
T / F

- Smoking is a risk factor for developing placenta praevia



I'll say True.
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Dr Miss. Raj Walavalkar MBBS MRCOG
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