The answer to what is the most life threatening complication
of Hypothyroidism......is MYXEDEMA COMA.
Today we'll cover a topic encountered in practice and on board exam questions,
that is somewhat of a departure for me....but important, nonetheless.
Q: What is the use of Rho-Gam?
A: Rho-Gam is given to the Rh Negative mother to PREVENT a secondary immune
response by the fetal Rh Positive RBC's.
Q: What is the time definition of infertility?
A: By definition, infertility exists after failure to conceive for ONE YEAR of
unprotected intercourse.
Q: Which type of virus is mainly associated with CERVICAL CANCER?
A: HPV(Human Papillomavirus), especially HPV16 and 18 subtypes.
Other risk factors are: multiple partners/early age sexual activity/smoking
co-existing STD's/low socioeconomic status and HIV.
Q: What are the recommended SCREENING INTERVALS for cervical cancer?
A: Sexually active person WITHOUT risk factors....it is EVERY 3 YEARS.
Sexually active person WITH risk factors........... it is ANNUALLY.
Q: What is AMNIOTIC FLUID EMBOLISM SYNDROME?
A: It is a CATASTROPHIC event at time of LABOR/DELIVERY...like a massive PE.
Leading to sudden onset HYPOXIA/DYSPNEA/CYANOSIS/HYPOTENSION
and occasionally DIC/COMA...due to uterine manipulation. MORTALITY 50%!!!
TREATMENT: Supportive....Intubation/rapid delivery/IV Fluids.
Q: What is Beta-TOCOLYTIC INDUCED PULMONARY EDEMA?
A: Occurs about 12 HOURS POST DELIVERY. It is UNIQUE to PREGNANT WOMEN.
Sudden onset of PULMONARY EDEMA...due to either TERBUTALINE,
SALBUTEROL, ISOXSUPRINE or RITODRINE......fortunately rare!
TREATMENT: Supportive and diuretics.
Until next time.....What is the HALLMARK feature of OSTEOPOROSIS?
Thanks again for your time....be back soon.
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