Case Files OB GYN

Case 15; Pulmonary Embolism;

15.7;
A; the most cmmon site of long term heparin use is osteoporosis. This will be because
overactive osteoclastic activation, there will be HIT this is very rare.

15.6 Venous stasis; this will be rthe major risk factor for hypercoagulable state in pregnancy.
Note this will be caused by compression of the ICV.

15.5; PCo2 reveals 35 mmhg, this is in the context will be representative of reactive airway
disease;

15.4; will have normal ABGs in the pregnant woman, this is resp alkalosis with partial
compensation,

15.3: With FVL, will have low risk ofTE.

15.2; Embolisation this (both thrombotic and amniotic is the most common cause for maternal
mortality, this will predispose to DVT.

15.1 Dyspnea is the most common clinical sign of PE.

Preeclampsia withsevere features

Most likely diagnosis this will improve saturation and raise O2 , second is IV support,
Primary labsl CBC with platelet count and Ck, goal, stabilize maternal status administer
glucocorticoids. And mag

16.10, IUGR, the next best step, evaluate for fetal compromise with BPP and umbilical artery
doppple, mag sulfate Is another option but this is going to require a complete picture

16.9; BP is severely elevated, must do antihypertensives.

16.8 corticosteroid; most important intervention < 34 weeks, mag is given but not necessary.