Tag: Pregnancy
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Acute renal failure and pregnancy
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Epidemiology: The frequency of acute renal failure (ARI) in pregnancy is very different in developed and developing countries. Prevalence and prognosis data can not be interpreted without taking into account the geographic context in which they were obtained. The IRA has become, in France, an exceptional complication of pregnancy. Its incidence has declined significantly in developed countries…
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Hypertension of pregnancy
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Introduction: Hypertension complicates about 8% of pregnancies in developed countries, significantly more in some areas. For a quarter of these young women, it is pre-eclampsia, the severity of which can be extreme. Hypertension in pregnancy is thus the leading cause of fetal death, and the second or third leading cause of maternal mortality worldwide. The mechanisms responsible…
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Pregnancy hypertension
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Introduction: Gravitational hypertension is a group of conditions whose nature and mechanisms remain imperfectly classified. This situation affects 10 to 15% of pregnant women, which is considerable. It also represents, in our climate, the leading cause of perinatal morbidity and mortality. “Illness of Hypotheses”, preeclampsia was also a “disease of dogmas” and many successive and contradictory…
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Systemic Lupus Erythematosus
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1- Clinic: A- The dermatologic manifestations (80%): – They predominate on exposed areas (photosensitivity); – Erythema in vespertilio (60%) affects the nose and cheekbones. – The discoid lupus (most readily observed in purely cutaneous chronic forms) is present in 15% of disseminated lupus. It combines three elementary lesions: erythema, dander and sequelae atrophy (scalp ->…
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Anosmia
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This chapter deals only with the total loss of smell. Are excluded hyposmia (decrease) cacosmia (perception of an unpleasant odor from the subject himself), parosmia (erroneous olfactory sensation) and phantosmia (olfactory hallucination). Smell of modern man is in decline (microsmatique animal) and its loss is not without consequence. In people anosmic the risk of domestic…
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Monitoring of pregnancy
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Monitoring of pregnancy can be a source of discomfort for the general practitioner. However, this is usually a physiological phenomenon governed by a policy of monitoring and preventing well organized in France, both at the medical level at the legislative level. This has allowed since 1970, the decrease in perinatal mortality (from 35 to 6.5…
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Presentations pregnancy
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1- seat presentation: * Terms and conditions: the seat is said to be complete when the legs are bent on the thighs flexed on the abdomen.The seat is said décomplété fashion buttocks when the legs are extended to the trunk, legs fully extended, this variety is the most common. * Varieties: the left anterior sacroiliac…
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Physiology of pregnancy
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1- Hormonology: A- MENSTRUAL CYCLE: * FOLLICULAR PHASE: high FSH (low estrogen) => follicular maturation -> Graafian follicle -> secretion of estrogen (granulosa cells); theca interna secretes androgens which will be converted into estrogen in the granulosa cells. – The increase in estrogen levels is accompanied by a low and slow LH surge * PHASE…
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Bleeding
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Puerperal blood loss, occurring outside the rules. In women of childbearing age, always inquire whether the bleeding is related to pregnancy. In all cases: – Quickly assess the extent of blood loss. – If major bleeding or shock or if a surgical procedure (laparotomy, caesarean section) is required: • Insert an IV line and Ringer…
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Rashes during pregnancy
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DIAGNOSIS: The changes, physiological or pathological, skin eruptions during pregnancy are common. They can be ignored by the patient. Source of anxiety, they are a common reason for consultation. The GP is here on the front line. He returned it to recognize cutaneous symptoms, classify in physiological events or otherwise in the specific dermatoses of…
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