Preeclampsia without severe features. Definitive treatment is delivery (after stabilization and corticosteroid administration for fetal lung maturity if <34 weeks). Magnesium sulfate is given for seizure prophylaxis.
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Infection with high-risk HPV types (16 and 18), smoking, multiple sexual partners, early age at first intercourse, and immunosuppression. Mechanism: obstetrics and gynaecology questions and answers pdf
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Q3: Describe the management of a primigravida at 28 weeks with Intrauterine Growth Restriction (IUGR). BLDE(Deemed to be University) Initial Investigations:
| Condition | Key Feature | Next Step | |-----------|-------------|------------| | Ectopic pregnancy | Adnexal mass + β-hCG >1500 with empty uterus | Methotrexate or salpingectomy | | Hydatidiform mole | "Snowstorm" on US, very high β-hCG, vaginal bleeding | Suction D&C; follow β-hCG weekly | | Placental abruption | Painful, dark bleeding + uterine tenderness + fetal distress | Immediate delivery (often C-section) | | Ovarian torsion | Sudden severe pain + nausea + enlarged ovary on Doppler (absent flow) | Surgical detorsion (within 6-8 hours) | | PID | Cervical motion tenderness + adnexal tenderness + fever | Doxycycline + ceftriaxone | Remember: A PDF cannot replace clinical exposure or
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