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MEDICAL CONDITIONS COMPLICATING PREGNANCY
DIABETES MELLITUS
DEFINITION OF TERMS ,[object Object],[object Object],[object Object],[object Object],[object Object]
CLASSIFICATION DURING PREGNANCY ,[object Object],[object Object],[object Object]
CLASSIFICATION DURING PREGNANCY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GESTATIONAL DIABETES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
WHO to screen ?
GDM - SCREENING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WHEN to screen ?
RECOMMENDED SCREENING STRATEGY BASED ON RISK ASSESSMENT FOR DETECTING GDM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RECOMMENDED SCREENING STRATEGY BASED ON RISK ASSESSMENT FOR DETECTING GDM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RECOMMENDED SCREENING STRATEGY BASED ON RISK ASSESSMENT FOR DETECTING GDM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HOW to screen ?
GDM - SCREENING ,[object Object],[object Object],[object Object]
GDM - SCREENING ,[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]
GDM - ADVERSE EFFECTS ,[object Object],[object Object],[object Object],[object Object],[object Object]
MACROSOMIA Pathogenesis
[object Object],[object Object],[object Object],[object Object],[object Object]
GDM - MANAGEMENT ,[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]
GDM - PROGNOSIS ,[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]
OVERT DIABETES ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
OVERT DIABETES ,[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]
OVERT DIABETES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OVERT DIABETES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OVERT DIABETES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OVERT DIABETES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OVERT DIABETES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OVERT DIABETES MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OVERT DIABETES MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PULMONARY DISORDERS
NORMAL CHANGES IN PREGNANCY
PULMONARY TUBERCULOSIS
TUBERCULOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TUBERCULOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
TUBERCULOSIS ,[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]
URINARY TRACT DISORDERS
[object Object],[object Object],[object Object],[object Object],[object Object]
NORMAL CHANGES IN PREGNANCY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIAGNOSTIC TESTS ,[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]
URINARY TRACT INFECTION
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
URINARY TRACT INFECTIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
URINARY TRACT INFECTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
URINARY TRACT INFECTION ,[object Object],[object Object],[object Object],[object Object],[object Object]
URINARY TRACT INFECTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
URINARY TRACT INFECTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
URINARY TRACT INFECTION ,[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]
THYROID DISORDERS
NORMAL CHANGES IN PREGNANCY ,[object Object],[object Object],[object Object],[object Object],[object Object]
HYPERTHYROIDISM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GRAVE’S DISEASE ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
GRAVE’S DISEASE ,[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]
GRAVE’S DISEASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GRAVE’S DISEASE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HYPOTHYROIDISM ,[object Object],[object Object],[object Object],[object Object]
HYPOTHYROIDISM ,[object Object],[object Object],[object Object],[object Object]
HYPOTHYROIDISM ,[object Object],[object Object],[object Object],[object Object]
HYPOTHYROIDISM ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
PUERPERAL INFECTION
10 days post cesarean section, a 23 yr old primipara complains of fever of  3 days duration associated with hypogastric pain.  Temp – 40 C. Breasts are slightly tender.  Pelvic exam shows  tenderness over the area of the uterus and parametria.  The most likely consideration is: A.  Breast engorgement  B.  Acute pyelonephritis C.  Metritis with pelvic cellulitis D.  Septic pelvic thrombophlebitis
PUERPERAL MORBIDITY ,[object Object],[object Object]
Differential Diagnosis of Puerperal Fever ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Respiratory Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pyelonephritis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Breast Engorgement ,[object Object],[object Object],[object Object]
Thrombophlebitis ,[object Object],[object Object],[object Object],[object Object]
Uterine Infection ,[object Object],[object Object],[object Object]
Uterine Infection ,[object Object],[object Object],[object Object],[object Object]
Risk Factors for Metritis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bacteria Responsible for Genital Tract Infections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Course ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Persistent Fever Despite Antibiotic Rx ,[object Object],[object Object],[object Object],[object Object],[object Object]
Wound Infection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors for Wound Infection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Peritonitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parametrial Phlegmon ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pelvic Abscess ,[object Object],[object Object],[object Object]
Septic Thrombophlebitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Infections of Perineum, Vagina and Cervix ,[object Object],[object Object],[object Object],[object Object],[object Object]
10 days post cesarean section, a 23 yr old primipara complains of fever of  3 days duration associated with hypogastric pain.  Temp – 40 C. Breasts are slightly tender.  Pelvic exam shows  tenderness over the area of the uterus and parametria.  The most likely consideration is: A.  Breast engorgement  B.  Acute pyelonephritis C.  Metritis with pelvic cellulitis D.  Septic pelvic thrombophlebitis
[object Object],[object Object]

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