TEALE FENNING

EMAK · Century Club Joined: 26 Nov 2006 Posts: 581

In a woman with antiphospholipid antibodies, the addition of the following would be sufficient to make a diagnosis of the antiphospholipid syndrome (APS):

(a) Pre-eclampsia requiring induction of labour at 37 weeks gestation
(b) Deep venous thrombosis
(c) Intrauterine fetal death at 24 weeks gestation
(d) Preterm labour at 30 weeks
(e) Three consecutive miscarriages in the first trimester

The following blood changes are helpful in the diagnosis of a systemic lupus erythematosus (SLE) flare during pregnancy:

(a) Raised erythrocyte sedimentation rate
(b) A rise in double-stranded (ds) DNA titres
(c) A fall in C3 levels
(d) A rise in uric acid levels
(e) A rise in alanine aminotransferase

EhlerseDanlos syndrome is associated with the following pregnancy complications:

(a) Preterm rupture of membranes
(b) Uterine rupture
(c) Fetal congenital heart block
(d) Perineal breakdown
(e) Internal haemorrhage

professional · Joined: 01 Jun 2010 Posts: 2

EhlerseDanlos syndrome is associated with the following pregnancy complications:

(a) Preterm rupture of membranes TRUE
(b) Uterine rupture TRUE
(c) Fetal congenital heart block ? NOT SURE
(d) Perineal breakdown TRUE also poor wound healing after c section
(e) Internal haemorrhage TRUE

professional · Joined: 01 Jun 2010 Posts: 2

In a woman with antiphospholipid antibodies, the addition of the following would be sufficient to make a diagnosis of the antiphospholipid syndrome (APS):

(a) Pre-eclampsia requiring induction of labour at 37 weeks gestation false (preeclampsia requiring delivery before 35 weeks )
(b) Deep venous thrombosis true
(c) Intrauterine fetal death at 24 weeks gestation true
(d) Preterm labour at 30 weeks false
(e) Three consecutive miscarriages in the first trimester true

reference RCOG guideline

rpwalavalkar · Posted: Wed Jul 28, 2010 4:25 pm Post subject:

APS --

False
True
True
false
true

agree with professional, check out RCOG guidelines. Emak, good question.

r
_________________
Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region

rpwalavalkar · Posted: Wed Jul 28, 2010 4:44 pm Post subject:

Ehler - Danlos Syn ----

true
true
false -- not congenital heart block, but is associated with, cardiac valve prolapsees especially mitral, arterial aneurysms.
true
true

r
_________________
Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region