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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.

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