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docsubhi
Joined: 03 Sep 2007
Posts: 59
Location: london
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 Posted: Thu Sep 04, 2008 1:05 pm Post subject: Fetal infection question |
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Fetal Infection During Pregnacy:
Options ....
Chlamydia psitacci
Malaria
Typhoid
Tuberculosis
Rubella
Listeria
Parvovirus
Toxoplasma gondi
CMV
Syphilis
Question:
A woman arrives from south india at 28 weeks in pregnancy. No antenatal care . Scan shows ASD and cataract. Woman informs of having a rash and ? glandular fever like illness in early pregnancy.
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rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
Posts: 966
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| Posted: Thu Sep 04, 2008 1:51 pm Post subject: |
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i would go for rubella.
what did you answer?
r
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Dr Miss. Raj Walavalkar MBBS MRCOG
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SR O&G Wessex Region |
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docsubhi
Joined: 03 Sep 2007
Posts: 59
Location: london
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| Posted: Thu Sep 04, 2008 2:00 pm Post subject: |
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rubella
as the only other thing is parvo which fits maternal symptoms but it doesnt cause catarat or ASD
no ante-natal care - so maybe she wasnt screened for rubella earlier |
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drmmanish@yahoo.co.in
Joined: 05 Mar 2008
Posts: 42
Location: UK
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| Posted: Thu Sep 04, 2008 5:31 pm Post subject: |
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me too 
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manish |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1852
Location: Nottingham
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| Posted: Sat Sep 06, 2008 7:52 am Post subject: |
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Yes this is Rubella but I wonder if there were more details in the question? Was this from Sep-08 Exam?
Also there must have been more options? Can anyone remember them?
We have an excellent set of EMQs on this subject which I did on the ABC and EMCQ Courses so I hope those who attended felt confident and got these right. 
I would go for Rubella as we have cataract (which = Rubella until proven otherwise) and cardiac manifestations. CMV and Toxo also cause cataracts but not cardiac disease as far as I am aware or at least not classicially. Rubella often causes peripheral pulmonary arterial disease I think and PDA of course but ? ASD.
| docsubhi wrote: | | no ante-natal care - so maybe she wasnt screened for rubella earlier |
This is another good point.
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Last edited by Nick Raine-Fenning on Sat Sep 06, 2008 7:55 am; edited 1 time in total |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1852
Location: Nottingham
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| Posted: Sat Sep 06, 2008 7:54 am Post subject: |
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| docsubhi wrote: | | as the only other thing is parvo which fits maternal symptoms but it doesnt cause catarat or ASD |
Parvovirsu does not have a congenital syndrome. It does lead to non-immune hydrops and anaemia due to BM suppression though. |
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docsubhi
Joined: 03 Sep 2007
Posts: 59
Location: london
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| Posted: Sat Sep 06, 2008 7:58 am Post subject: |
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| The Abc course helped not only in this but so many other questions!! |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1852
Location: Nottingham
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| Posted: Sat Sep 06, 2008 8:09 am Post subject: |
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Glad to hear it.   |
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salihabduallah
Century Club
Joined: 04 Sep 2007
Posts: 120
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| Posted: Sun Sep 07, 2008 6:25 am Post subject: |
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| Syphilis was an option too. |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1852
Location: Nottingham
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| Posted: Sun Sep 07, 2008 8:58 am Post subject: |
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| thanks - I've added it. |
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Hadia Koomary
Joined: 15 Sep 2008
Posts: 42
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| Posted: Sun Sep 21, 2008 7:39 pm Post subject: |
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Hi
Why not syphilis?
it can cause rash, flue like illness, ASD and cataract ?
all are features of secondary syphilis.  |
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