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Pre-eclampsia Quiz Answers, Study notes of Health sciences

This pain is easily confused with heart burn or inflammation of the gall bladder. (cholecystitis). How can these be distinguished? What test can be done?

Typology: Study notes

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Pre-eclampsia Quiz Answers
1. Original name of Pre-eclampsia
Toxemia
Not used much anymore although you still find people today using the term ‘pre-
eclamptic toxemia’. Literally this means ‘blood poisoning’. The term pre-eclampsia is
a variant of eclampsia, which comes from the Greek word lampeen - meaning ‘to
flash’. This refers to the ‘flashing lights’ which accompany headaches that can be
characteristic of eclampsia (see PRECOG). Pre-eclampsia is the stage before
eclampsia.
2. Symptoms and Signs
Severe swelling (oedema) especially of hands and face or upper body
Headaches (like migraine) that don’t go away, sometimes accompanied by vomiting,
Blurred vision/flashing lights or spots before the eyes,
Severe pain below ribs, especially on right side,
Vomiting
Clonus
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pf4
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Pre-eclampsia Quiz Answers

  1. Original name of Pre-eclampsia Toxemia Not used much anymore although you still find people today using the term ‘pre- eclamptic toxemia’. Literally this means ‘blood poisoning’. The term pre-eclampsia is a variant of eclampsia, which comes from the Greek word lampeen - meaning ‘to flash’. This refers to the ‘flashing lights’ which accompany headaches that can be characteristic of eclampsia (see PRECOG). Pre-eclampsia is the stage before eclampsia.
  2. Symptoms and Signs Severe swelling (oedema) especially of hands and face or upper body Headaches (like migraine) that don’t go away, sometimes accompanied by vomiting, Blurred vision/flashing lights or spots before the eyes, Severe pain below ribs, especially on right side, Vomiting Clonus

 3. Women at high risk of pre-eclampsia

◦ hypertensive disease during a previous pregnancy

◦ chronic kidney disease

◦ autoimmune disease such as systemic lupus erythematosus or antiphospholipid syndrome

◦ type 1 or type 2 diabetes chronic

◦ Hypertension

5.. Warning bell 130/90 or 140/

According to PRECOG a new diastolic BP of > 90mmhg is the highlight threshold that requires hospital step-up within 48 hours. (A significantly raised systolic reading is also now considered very important in heralding possible intra-cranial haemorrhage).

  1. An unusual symptom = Epigastric Pain (may be accompanied by nausea and vomiting) Organ = liver

This pain is easily confused with heart burn or inflammation of the gall bladder (cholecystitis).

How can these be distinguished? What test can be done?

ANTACID – Does it reduce the symptom?

LIVER ENZYME TESTS (AS PART OF LIVER FUNCTION TESTS) - Aspartate aminotransferase (AST ) and alanine aminotransferase (ALT ).

7. Source of error

* WRONG SIZE BLOOD PRESSURE CUFF

* TAKING BLOOD PRESSURE WHEN THE WOMAN IS LYING

ON HER SIDE

8. PLGF an abbreviation for

Placental growth factor

9. What does mmHg mean?

mmHg = Millimetres of Mercury

  1. What target blood pressure should be used

when women are using medicines

135/85mmHg

  1. Anti-hypertensive medication to be used in the

postpartum period

Amlodipine

Nifedipine

Atenolol