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Hypertensive disorders in Pregnancy

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Hanifullah Khan
Hanifullah Khan

Teaching for undergraduates

EducaçãoSaúde e medicina
1 de 46
HYPERTENSION IN PREGNANCY Associate Professor Dr Hanifullah Khan
Objectives ,[object Object],[object Object],[object Object],[object Object]
INTRODUCTION
Introduction ,[object Object],[object Object],[object Object]
Definitions – H/T ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pregnancy HT & Chronic HT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Definitions - PE ,[object Object],[object Object],[object Object],[object Object],[object Object]
Definition - Eclampsia ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Classification
 
Incidence ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object]
PATHOPHYSIOLOGY
Basic understanding ,[object Object],[object Object],[object Object]
Trophoblast ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathology ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2. Altered vascular reactivity ,[object Object],[object Object],[object Object]
3. Coagulation disturbance ,[object Object],[object Object],[object Object],[object Object]
Summary The development of PE is mediated through the degree of placental pathology & the maternal inflammatory response
PREECLAMPSIA & ECLAMPSIA
[object Object],[object Object],[object Object],Occurrence
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Epidemiology
Maternal personal risk factors for preeclampsia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multisystem Features Of Preeclampsia Hypertension Proteinuria Eclampsia HELLP syndrome Intra-uterine growth restriction Multi-organ disease Cerebral vessels Fetus Liver Systemic blood vessels Kidneys
Diagnosis Of PE ,[object Object],[object Object],[object Object]
Peripheral oedema ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Symptoms – non-specific
[object Object],[object Object],Severity of PE
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diagnosis of Eclampsia
EVALUATION
Evaluation of Hypertension in Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiovascular ,[object Object],[object Object],[object Object],Hematological ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Hepatic ,[object Object],[object Object],[object Object],[object Object],Central Nervous System Organ Specific Changes associated with Pre-eclampsia
Clinical presentation Symptoms Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Diagnosis: ,[object Object],[object Object],[object Object]
Differential Diagnosis Convulsions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Control of Convulsions: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prognosis: ,[object Object],[object Object],[object Object],[object Object],[object Object]
CONCLUSIONS
Summary ,[object Object],[object Object]
Maternal deaths ,[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object]

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