Disease | Remarks |
PREGNANCY
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IRON & FOLATE DEFICIENCY ARE THE MAJOR CAUSE
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PREGNANCY
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SUPPLEMENT DIET WITH ATLEAST 60 MG / DAY OF ELEMENTAL IRON
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PREGNANCY
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TREATMENT OF VIT B12 DEFICIENCY INCLUDES 0.1 MG/DAY FOR 1 WEEK, FOLLOWED BY 6 WKS OF CONTINUED THERAPY TO REACH A TOTAL ADMINISTRATION OF 2 MG
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PREGNANCY
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ACYCLOVIR SHOULD BE AVOIDED BUT CORTICOSTEROIDS CAN BE GIVEN
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PREGNANCY
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INFECTION CAUSES INCREASED MORTALITY & MORBIDITY IN BOTH INFANT & MOTHER. CONGENITAL INFECTION MAY CAUSE ABORTION OR VARIOUS CONGENITAL DEFECTS.
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PREGNANCY
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INCREASED WORKLOAD DUE TO PEGNANCY, MAY WORSEN THE CONDITION
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PREGNANCY
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HEPARIN SHOULD BE THE DRUG OF CHOICE AS WARFERIN CAUSE FETAL ABNORMALITIES
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PREGNANCY
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BECAUSE OF DELAYED PULMONARY MATURATION OF FETUS, EARLY DELIVERY IS AVOIDED
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PREGNANCY
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USUALLY DUE TO MIGRAIN, BUT MAY SIGNAL ECLAMPSIA, PSEUDOTUMOR CEREBRI
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PREGNANCY
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CONGENITAL HSV INFECTION IS ASSOCIATED WITH IUGR, PRETERM LABOR OR ABORTION. 30-60% OF PREGNANT WOMEN MAY HAVE PAST HSV INFECTION & MAY PASS INFECTION PERINATALLY CAUSING SKIN LESIONS, ENCEPHALITIS OR NEUROLOGICAL DISABILITY IN INFANT.
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PREGNANCY
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ASSOCIATED WITH INCREASED RISK OF IUGR, PERINATAL MORTALITY, PREECLAMPSIA, ABRUPTIO PLACENTA. METHYL DOPA & LABETALOL ARE DRUGS OF CHOICE. GOAL OF TT, DIASTOLIC BP - 80 TO 90 MM HG
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PREGNANCY
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SEVERE HYPERTHYROIDISM CAN CAUSE PREECLAMPSIA, ATRIAL FIBRILLATION, PROXIMAL MUSCLE WEAKNESS, SPONTANEOUS ABORTION OR PREMATURE LABOUR & THYROID STORM IS ASSOCIATED WITH HIGH MATERNAL MORTALITY RATE. DRUG OF CHOICE - PROPYLTHIOURACIL
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PREGNANCY
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INCREASED CHANCES OF ANEMIA, MYOPATHY, CHF, PREECLAMPSIA, LOW BIRTH WT., POSTPARTUM HGE. & POOR FETAL & NEONATAL INTELLECTUAL DEVELOPMENT. IODINE REQUIREMENT IS INCREASED. DOSE OF HYPOTHYROID MEDICINE MAY INCREASE.
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PREGNANCY
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MAY CAUSE ABORTION, PREMATURE LABOR OR NEONATAL INFECTION
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PREGNANCY
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MODERATE TO SEVERE RELAPSE CAN BE SAFELY TREATED BY PULSE GLUCOCORTICOID THERAPY.
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PREGNANCY
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INCREASED CHANCES OF PREECLAMPSIA, INFECTION DUE TO DECREASED IMMUNITY & ASSISTED LABOUR BY FORCEPS. BABY ALSO FACES SIGNIFICANT RISK OF MYASTHENIA ( 10-20% ), PREMATURITY, SEVERE MALFORMATION & DEATH
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PREGNANCY
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PREGNANACY & POSTPARTUM PERIOD ARE TIMES OF INCREASED LUPUS ACTIVITY WITH INCREASED CHANCES OF FETAL LOSS. IF PREGNANCY TERMINATION NOT AN OPTION, TT. SHOULD NOT BE INFLUENCED BY PREGNANCY
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PREGNANCY
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MORE CHANCES OF PREECLAMPSIA. REQUIRE FREQUENT TANSFUSIONS & DESFERRIOXAMINE IRON CHELATION THERAPY THROUGHOUT PREGNANCY
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PREGNANCY
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MAJORITY IS DUE TO BENIGN GESTATIONAL THROMBOCYTOPENIA & RETURNS TO NORMAL WITHIN SEVERAL WEEKS OF DEVIVERY. RATE OF SEVERE THROMBOCYTOPENIA INNEONATE IS 12% WITH INCREASED CHANCES OF INTRACRANIAL HGE. WHICH IS UNRELATED TO MODE OF DELIVERY
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PREGNANCY
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INCREASED CHANCES OF ABORTION, PREECLAMPSIA, PRETERM DELIVERY, CHF, PLACENTAL ABRUPTION, POSTPARTUM HGE, THYROID STORM, IUGR, LOW BIRTH WT, CONGENITAL ANOMALIES, POOR NEUROPSYCHOLOGICAL DEVELOPMENT
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PREGNANCY
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MAY BE ASSOCIATED WITH CONGENITAL DEFECTS. NEONATE SHOULD GET HEPATITIS-B VACCINATION AS SOON AS POSSIBLE AFTER BIRTH, PREFERABLY WITHIN 72 HRS.
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PREGNANCY
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INFANTS SHOULD RECEIVE HEPATITIS B IMMUNE GLOBULIN AS SOON AFTER BIRTH AS POSSIBLE, PREFERABLY WITHIN 72 HRS
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PREGNANCY
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IRON & FOLATE DEFICIENCY ARE THE MAJOR CAUSE OF CORRECTABLE ANEMIA
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PREGNANCY
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WELL TOLERATED. PREGNANCY INDUCED DECREASE IN SYSTEMIC VASCULAR RESISTANCE REDUCES RISK OF CARDIAC FAILURE
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PREGNANCY
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UNLESS VERY SEVERE, IS WELL TOLERATED
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PREGNANCY
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INCREASED CHANCES OF CONGENITAL HEART DISEASE IN OFF SPRINGS
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PREGNANCY
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RISK OF SEIZURES INCREASES IN POSTPARTUM PERIOD. ANTIEPILEPTIC DRUGS CAN CAUSE FETAL MALFORMATIONS BUT MONOTHERAPY IS MUCH SAFER THAN POLYTHERAPY. CHECK MATERNAL MSAFP LEVELS & LEVEL II FETAL SURVEY & ULTRA SOUND AT 19-20 WKS. CHECK AED BLOOD LEVELS
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PREGNANCY
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INCREASED RISK OF ABORTION, INFECTION, PREECLAMPSIA, PRETERM DELIVERY, CHF, THYROID STORM, PLACENTAL ABRUPTION. FETAL/NEONATAL COMPLICATIONS INCLUDE PREMATURITY, SMALL FOR GESTATION AGE, IUD, TOXEMIA & THYROTOXICOSIS
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PREGNANCY
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MAIN OBSTETRIC CONCERN IS RISK TO OFFSPRING. RISK TO MALE FETUS IS 50%. CHORIONIC VILLI SAMPLING CAN HELP DETERMINE THE RISK BY DETERMINING FETAL SEX & PROVIDING TISSUE FOR DNA ANALYSIS
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PREGNANCY
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CESARIAN SECTION & USE OF ZIDOVUDINE REDUCE THE RISK OF VERTICLE TRANSMISSION TO FETUS TO 2%
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PREGNANCY
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AORTIC ROOT DIAMETER < 40 MM IS ASSOCIATED WITH FAVORABLE OUTCOME OTHERWISE INCREASED RISK FOR AORTIC RUPTURE OR DISSECTION IN III TRIMESTER OR EARLY POSTPARTUM
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PREGNANCY
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WELL TOLERATED. PREGNANCY INDUCED DECREASE IN SYSTEMIC VASCULAR RESISTANCE REDUCES RISK OF CARDIAC FAILURE
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PREGNANCY
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WELL TOLERATED
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PREGNANCY
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PRIMARY PUL HYPERTENSION IS CONTRAINDICATION TO PREGNANCY AS MATERNAL MORTALITY RATE IS HIGH IN SEVERE PULMONARY HYPERTENSION
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PREGNANCY
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INCREASED INCIDENCE OF ANEMIA, ABORTION, CHF, CONGENITAL ANOMALIES, PREECLAMPSIA, PLACENTAL ABRUPTION, POSTPARTUM HGE, CARDIAC DYSFUNCTION, IUGR, LOW BIRTH WT & POOR NEUROPSYCHOLOGICAL DEVELOPMENT
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PREGNANCY
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FIRST TRIMESTER INFECTION CARRIES HIGH RISK OF FETAL ANOMALIES ( 90% ). FOR INFECTION AT 12-16 WKS RISK IS 20%
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PREGNANCY
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RISK OF DEVELOPING SICKLE CELL CRISIS WHICH ARE VASOOCCLUSIVE & PECIPITATED BY INFECTION & MAY BE ASSOCIATED WITH THROMBOPHLEBITIS OR PREECLAMPSIA. IV FLUIDS, ANTIBIOTICS TO CONTROL INFECTION & OTHER SUPPORTIVE MEASURES LIKE OXYGEN ARE TT OF CHOICE.
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PREGNANCY
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RATE OF SEVERE THROMBOCYTOPENIA IN NEONATE IS 12% WITH INCREASED CHANCES OF INTRACRANIAL HAEMORRHAGE WHICH IS UNRELATED TO MODE OF DELIVERY
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PREGNANCY
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INCREASED CHANCES OF ABORTION, INFECTION, PREECLAMPSIA, PRETERM DELIVERY, CHF, THYROID STORM, PLACENTAL ABRUPTION. FETAL COMPLICATIONS ARE PREMATURITY, SMALL FOR GESTATION AGE, IUD, TOXEMIA & FETAL OR NEONATAL THYROTOXICOSIS
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PREGNANCY
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IF NO EVIDENCE OF PLACENTA / FETAL INFECTION, SINGLE DRUG TT WITH SPIRAMYCIN OTHERWISE TRIPPLE DRUG TT WITH SPIRAMYCIN, PYRIMETHAMINE & SULPHA IS RECOMMENDED
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PREGNANCY
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HISTORICALLY CRYOPRECIPITATE HAS BEEN ADVICED WHEN FACTOR VIII:C FALLS <80%. BECAUSE OF INFECTION RISK FROM POOLED DONORS, DEAMINO-8-D-ARGININE VASOPRESSIN IS USED PARTICULARLY IN TYPE-I DISEASE.
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PREGNANCY
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METHYL DOPA & LABETALOL ARE DRUGS OF CHOICE DURING PREGNANCY
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PREGNANCY
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INCREASED CHANCES OF ANEMIA, PREECLAMPSIA, PLACENTAL ABRUPTION, POSTPARTUM HGE, CARDIAC DYSFUNCTION, ABORTION, IUGR, LOW BIRTH WT, CONGENITAL ANOMALIES, POOR NEUROPSYCHOLOGICAL DEVELOPMENT
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PREGNANCY
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ASSOCIATED WITH SPONTANEOUS ABORTION, PREMATURITY & CONGENITAL & NEONATAL HERPES. WOMEN WITH ACTIVE LESION AT THE TIME DELIVERY, SHOULD BE DELIVERED BY CESAREAN SECTION. DISSEMINATED NEONATAL HERPES CARRIES HIGH MORTALITY & MORBIDITY
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PREGNANCY
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DEPENDING ON THE STATE OF THYROID GLAND THERE ARE INCREASED CHANCES OF ABORTIONS, ANEMIA, PREECLAMPSIA, CHF, THYROID STORM, IUGR, LOW BIRTH WT, CONGENITAL ANOMALIES, POOR NEUROPSYCHOLOGICAL DEVELOPMENT, IUD, STILL BIRTH, PRETERM DELIVERY,
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PREGNANCY
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INCREASED CHANCES OF ABORTION, INFECTION, PRETERM DELIVERY, PREECLAMPSIA, CHF, THYROID STORM, PLACENTAL ABRUPTION, IUGR, PREMETURITY, IUD, TOXEMIA & FETAL OR NEONATAL THYROTOXICOSIS
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PREGNANCY
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DEPENDING ON THYROID STATE INCREASED CHANCES OF ABORTION, PREECLAMPSIA, ANEMIA, PLACENTAL ABRUPTION, PPH, CARDIAC DYSFUNCTION, IUGR, LOW BIRTH WT, CONGENITAL ABNORMALTIES & POOR NEUROPSYCHOLOGICAL DEVELOPMENT
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PREGNANCY
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INCREASED CHANCES OF ABORTION, INFECTION, PREECLAMPSIA, PRETERM DELIVERY, CHF, THYROID STORM, PLACENTAL ABRUPTION, FETAL PREMATURITY, IUGR, IUD, TOXEMIA & FETAL OR NEONATAL THYROTOXICOSIS
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PREGNANCY
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INCREASED INCIDENCE OF PRETERM LABOUR, ABORTION, CHF, THYROID STORM, PREECLAMPSIA, PLACENTAL ABRUPTION, FETAL PREMATURITY, IUGR, SMALL BIRTH WT.
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PREGNANCY
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THYROID NODULE DISCOVERED DURING PREGNANCY MAY HAVE HIGHER RISK OF BEING MALIGNANT. IF PT IS IN HYPO OR HYPERTHYROID STATE THEN INCREASED CHANCES OF IUGR, ABORTION, PREECLAMPSIA, PRETERM DELIVERY, CHF, THYROID STORM, PLACENTAL ABRUPTION ETC
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PREGNANCY
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BECAUSE OF DELAYED PULMONARY MATURATION OF FETUS, EARLY DELIVERY IS AVOIDED
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PREGNANCY
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MAY BE ASSOCIATED WITH INCREASED CHANCES OF ABORTION OR CONGENITAL DEFECTS
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PREGNANCY
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SEVERE CMV DISEASE IN NEW BORN MAY CAUSE PETECHIAE, HEPATOSPLENOMEGALY & JAUNDICE. CHORIORETINITIS, MICROCEPHALY, INTRACRANIAL CALCIFICATION, HEPATITIS, HEMOLYTIC ANEMIA,PURPURA & PSYCHOMOTOR, OCULAR, AUDITORY, DENTAL ABNORMALITIES
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PREGNANCY
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INCREASED CHANCES OF FETAL LOSS WITH THROMBOTIC PHENOMENON OR AUTOIMMUNE THROMBOCYTOPENIA
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PREGNANCY
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TT GOAL IN PREGNANCY IS TO MAINTAIN FT3 & FT4 LEVELS IN HIGH NORMAL RANGE, BECAUSE SERUM TSH LEVELS PERSISTANTLY REMAIN LOW DUE TO INFLUENCE OF HCG WHICH HAS THYROID STIMULATING ACTIVITY
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