Question

Case:

Ms. D, a mother approaching her 35th week of pregnancy reports to an urgent care facility with her husband. She complains of diffuse abdominal pain, weakness, and dizziness that started approximately 3 days earlier. Her blood pressure is 145/95 mm

Hg. The laboratory technician does a quick urinalysis and detects 1 + protein in the patient's urine. A blood sample is drawn, the physician calls the woman 's obstetrician, and the woman and her husband are sent to the hospital.

Questions:

27. What condition does Ms. D have?

Pre-eclampsia with severe features because Mrs. D

28. Why is this considered a serious situation?

29. What are the possible complications of this condition?

Case:

A 24-year-old woman and her 26-year-old husband are unable to conceive. The couple has had unprotected intercourse for approximately 18 months, with no resulting pregnancy. The husband's infertility workup is completely normal. Both individuals are avid runners and participate in marathons at least four times each year. The wife's infertility workup came back with a repeat follicle stimulating hormone (FSH) level of more than 40 IU/L. She had an FSH determination about a month earlier that was also more than 40 IU/L.

For questions 30-31 refer to the case above:

30. What condition accounts for the couple's inability to conceive?

31. Are follow-up hormonal tests necessary? Why or why not?

Answer 1

27.the patient has preeclampsia.

Preeclampsia is a dangerous condition during pregnancy that is characterised by hypertension(BP levels greater than 140/90 mmHg)along with proteinuria.In severe stages this shows oliguria,oedema,headache,vomiting,abdominal pain etc.

28.Preeclampsia when untreated can cause serious damages to the mother and the foetus.It can also cause still birth.Preeclampsia can cause fetal growth restriction, reduced amniotic fluid, and abnormal fetal oxygenation.

Severe preeclampsia may also become HELLP Syndrome,

• Hemolysis,
• Elevated Liver enzymes
• Low Platelet count.

The untreated cases can also pass on to eclampsia which is a life threatening condition

29.The major complication of the preeclampsia is the eclampsia.

Eclampsia is a condition that is characterised by high blood pressure,severe proteinuria,oedema and convulsive states.

The eclamptic stage causes seizures and convulsions that can cause renal failure,head trauma,permanent damage to the CNS,intracranial hemmorages etc. and even death of the mother. It also causes the death of the foetus in severe states