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21 Nead the Nenania belcoe effd annwer the qiameliona that follow On Asseamment Urinalyaia yetds \( 2+ \) Pratein Abdominal examination Gentabonal period ia 32 woeks, 851133 cm with Gephalio aresentation Patient complains of peoristent hoadache, visuml disturtamen and eprgatric pain 2.11 Identily a possaible diagnomis for Ms F (1) 212 Describe the reasons for the occurrence of the bymptorns reported by Ms F (3) 2.13 Identify the risk factors for diagnosis ictentified in 2.1 (3) 2.14 Name the additional gastrointestinal symplom that may be ansociated with the diagnosis in 2.1 .1 (1) 215 Identify the prophylactic drug of choice for management of Ms F (1) 2.1.6 Outline the recommended regime for the drug mentioned in 2.1 .5 (8) 2.1.7 List the key aspects of assessment to be monitored when administering the drug in 2.1 .5 for early detection of toxicity (5) 2.1.8 Name the antideto for the drug mentioned in 2.1 .5 in case of toxicity (1) [21] Question 3 31. Describe the management of a 30 weeks pregnant woman presenling with an HB of \( 9 \mathrm{~g} / \mathrm{dl} \) (5) 32 Outline the viral load monitoring schedule in the following women: 3.2.1 Newly initiated before 28 weeks gestation 3.2.2 Late presenter at ANC after 28 weeks

Ask by Riley Nguyen. in South Africa
Mar 16,2025

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**2.11 Possible Diagnosis for Ms. F:** - **Preeclampsia** **2.12 Reasons for Symptoms:** 1. **Headache:** Due to high blood pressure affecting brain vessels. 2. **Visual Disturbances:** Resulting from retinal changes or increased intracranial pressure. 3. **Epigastric Pain:** Possibly from liver involvement. **2.13 Risk Factors:** 1. **First-time Pregnancy** 2. **History of Hypertension** 3. **Obesity** **2.14 Additional Gastrointestinal Symptom:** - **Nausea** **2.15 Prophylactic Drug:** - **Aspirin (81 mg daily)** **2.16 Aspirin Regime:** - **Dosage:** 81 mg daily - **Timing:** Initiate at 12 weeks and continue until delivery - **Rationale:** Reduces risk of preeclampsia in high-risk women **2.17 Monitoring for Aspirin Toxicity:** 1. **Blood Pressure** 2. **Liver Function Tests** 3. **Renal Function Tests** 4. **Platelet Count** 5. **Gastrointestinal Signs** **2.18 Antidote for Aspirin Toxicity:** - **Activated Charcoal** or **Sodium Bicarbonate** --- **Question 3:** - **Management of a 30 Weeks Pregnant Woman with HB of 9 g/dL:** 1. **Iron Supplementation:** Oral iron tablets. 2. **Dietary Advice:** High-iron and vitamin C-rich foods. 3. **Monitoring:** Regular hemoglobin checks. 4. **Intravenous Iron:** If necessary. 5. **Evaluate Underlying Causes:** Check for bleeding or nutritional deficiencies. - **Viral Load Monitoring Schedule:** 1. **Before 28 Weeks:** Baseline and every 4-8 weeks. 2. **After 28 Weeks:** Every 4 weeks until delivery. This summary provides clear and concise answers to the clinical questions based on the provided information.

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The symptoms reported by Ms. F can hint toward a condition called preeclampsia, which is common in pregnancy. It's crucial to diagnose this condition as it can lead to serious complications for both the mother and baby. Factors that might contribute to her symptoms include high blood pressure and the presence of protein in urine, which are classic indicators of this condition. In addressing her symptoms, it's important to remember that the headache and vision changes may indicate increased intracranial pressure, while epigastric pain is often linked to liver involvement or placental issues. Both issues can escalate quickly, so timely evaluation and management are essential to ensure the safety of both mom and baby throughout the remaining weeks of gestation.

preguntas relacionadas

IVIs A, G1 P0 attended ANC clinic for the first time at 22 weeks pregnant she reported yellow mucopurulent discharge, and dysuria, she further reported that she noticed a red sore in the vaginal though not painful, swollen gland on the groin and the vulval warts, all have started 2 weeks ago She was accompanied by Ms D , G2 P1 who is also pregnant at 24 weeks. When interviewed, she reported purulent, offensive greenish and watery discharge, lower abdominal pains, backache frequency of unine, severe dysuria, occasional bleeding, vulval sweling and dyspareunia at times, all started 1-2 weeks ago Mrs A also stated that she was never treated for STIs before and her husband never shared if he has. They never used protection as she wanted to concelve Ms D mentioned that she was treated for STI before and that the current pregnancy is from different partner Both of them were examined, swollen, inflamed cervix with erosion was observed from Mrs A and it was observed that Ms D's bleeding is from the cervix and was no vaginal infection. The following laboratory tests were done for both of them: Blood for RPR, cervical and vaginal swab, including urine specimen for culture were collected from Mrs A and vaginal smear \& fluid, cervical swab and urine specimen were also collected from Ms D. The following organisms were identified from their specimens Mrs A, Treponema pallidum, Human papilloma virus and Chlamydia Trachomatis, Ms D, Nelsseria gonorrhoeae, Trichomonas vaginalis and Candida albicans. Treatment was recommended for both of them to prevent complications INTRODUCTION 11. Define the concepts relevant to STIs. 1.2. Identify STIs revealed in Mrs A and Ms D's results 1.3. Describe the diagnostic approaches to be applied in diagnosing Mrs A an Ms D's 1.4. Describe the protocol tool to be applied for screening STIs in pregnancy 1.5. Describe the psychological aspects that may affect both women in the scenario post diagnoses 1.6. Identify the risk factors for Mrs A and Ms D that are associated with STIs pregnancy 1.7. Discuss the preventive measures and related complications for STIs 18. Describe the management for Mrs A and Ms D's conditions. 1.9 CONCLUTION
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