Important knowledge

⚡️Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome ▪︎شنهل دوخه !؟ نحفظها بالمختصر العراقي ( مركة ) بكيفكم مركة شجر مركة عدس 😁 ▪︎ تعتبر هيه ال most common type of Müllerian agenesis ▪︎يكون ماعدهم لا رحم ولا فجاينا لكن عدهم ovaries لانه الاورجن مالها مو من الموليرين دكت ▪︎شنو اعراضها ؟ ذولة يجون برايمري امنوريا لان ماكو رحم فمتصير الدورة وال secondary sexual characteristics مالتهم تكون نورمل لانو ال ovary موجود وشغال ▪︎اهم شي ننتبه انو يكونون 46XX ( ماكو مشاكل بالكروموسومات ) ▪︎لاننسى ندزها لابو بولية يجيكها علمود ال associated renal anomalies (30%)

⚡️classic triad of Congenital toxoplasmosis is ----------------------------- ▪︎chorioretinitis ▪︎intracranial calcification ▪︎hydrocephalus

بعض الاختلافات

⚡️Smoking and alcohol are protective factors for hyperemess gravidarm

⚡️Iron suplementation and antiacides containtig aluminum hydroxid interfer with thyroxin absorption so they should be taken at different time

⚡️TSH level is more useful in diagnosis of hypothyroidisim in pregnancy

⚡️The fetus dependes on maternal thyroid hormones for normal brain development untill 12 week when fetal thyroid start functioning

⚡️Most common causes of renal impairment in child-bearing age : ▪︎Reflux nephropathy ▪︎diabetes ▪︎SLE ▪︎glomerulonephritis ▪︎polycystic kidney disease

⚡️Serial Doppler study of the middle cerebral artery (MCA)-peak systolic velocity (PSV) is the mainstay to assess fetal anemia

⚡️Intravenous hydration to ensure adequate urinary output is the corner stone of treatment of pylonephritis in pregnency

⚡️The ‘gold standard’ diagnostic test for gestational diabetes is OGTT

⚡️It is important to remind pregnant women with type 1 DM never to stop their insulin even if not eating due to nausea or vomiting.

⚡️All women with diabetes should be offered low-dose aspirin from 12 weeks’ gestation to delivery to reduce the risk of preeclampsia (unless contraindicated) .

⚡️Pregnant women with pre-existing diabetes should be offered retinal assessment in 2 occasions: ▪︎ following their first antenatal clinic appointment ▪︎ at 28 weeks if the first assessment is normal.

⚡️Contraindications to pregnancy in diabetic women ----------------------------------------- ▪︎ischemic heart disease ▪︎untreated proliferative retinopathy ▪︎severe renal impairment(creatinine>250 mmol/L)