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OB Final

7-27-10 OB Final Barry

QuestionAnswer
Most common cause of jaundice Viral hepatitis
How do you avoid fetus from exposure to hepatitis C section
persistant severe form of N/V Hyperemesis Gravidarum
Hyperemesis Gravidarum N/V last how long 12 - 16 wks
Ischemic hepatocellular injurgy is linked to Hyperemesis Gravidarum
2nd most common cause of jaundice Intrahepatic Cholestais
S/S of Intrahepatic Cholestais Puritus, elevated bile acid levels, and spontaneous relief after 2-3 postpartum
normal ALT value male 10-30, female same
Normal AST level Male 8-46, female 7-34 U/L
Normal LDH level Male and female = 50-150
Liver dz most common in twins and triplets AFL = acute fatty liver
Acute Fatty Liver of Pregnancy occurs when last trimester or immediate postpardum
what are 3 important S/S of fatty liver > 34 wks, hypoglycemic, and hyperammonemia
Profound hypoglycemia in fatty liver is becuse of secondary to impaired hepatic glycogenolysis
what is the definative treatment for fatty liver prompt fetal delivery
fetal death occurs in fatty liver dz because of utero-placenta insufficiency
What trimesters do the following occur: HELLP, Acute fatty liver, viral hepatitis, hyperemesis gravdarum, intrahepatic cholestasis HELLP = 3rd & postpard, Acute fatty liver = 3rd & postpard, viral hepatitis = anytime, hyperemesis gravdarum = 1st, intrahepatic cholestasis = 2nd or 3rd
Hyperemesis has what fetal complication Low birth weight
Interhepatic cholestasis has what fetal complication prematurity, stillbirth
Acute fatty liver, HELLP, and preeclampsia/eclampsia cause what complication Increased maternal and fetal mortality
Obese causes what fetal outcomes Higher NICu admissions and 10 fold increase in perinatal mortaliy
What is good BMI 20-25 (wt in kg / height in meters squared)
What is BMI for obesity > 30
What BMI is morbid > 35
What is IBW IBW in kg = 22 x ht in meters squared
Created by: smorrissey1
 

 



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