Addicudo
Forum Guru
Topics: 124
Posts: 608
|
Why not what I wrote ..  !!
Attached Files:
New Picture.png (19 KB, 49 downloads)
___________________
... Idle hands are the DeVilS play ground ...
|
| Medusin
Forum Elite
Topics: 17
Posts: 279
|
C.PTU
I think this patient was taking PTU for tx of hyperthyroidism.
The dosage of propylthiouracil during treatment of hyperthyroidism in pregnancy must be kept to the minimum necessary for control of the disease (ie, < 300 mg daily), because it may affect the function of the fetal thyroid gland. Methimazole is a potential alternative, although there is concern about a possible risk of fetal scalp
defects.
___________________
What Starts Here Changes The World
|
| Addicudo
Forum Guru
Topics: 124
Posts: 608
|
But .. I went tthe other way .. I thought that the pt might have had HYPOthyroid .. and would have been taking T4 for thta purpose .. and thus .. the fetus .. has had a badly developed thyroid .. (atrophy) .. and thus after birth .. increased TSH .. but NO T4 .. so i opted for T4 as the answer ... !! so .. where did I go wrong .. ? Or someone else .. 
___________________
... Idle hands are the DeVilS play ground ...
|
| Luckyall
Forum Guru
Topics: 11
Posts: 593
|
mmmm no doubt is PTU or Propranol.
PTU is DOC in patients with hyperthyroidism during pregnancy---> so mommy most likely has been Hyper.
PTU--->Taper gradually to minimum dose required to keep patient clinically euthyroid and to avoid fetal hypothyroidism !!!!!!!!!!!!!! So if anything i d say they didnt taper the PTU dose while mommy's been pregnant bc PTU crosses the placenta but is said to be safe in pregn( extensively prot bound---> free fract of PTU lower-->drug doesnt readily cross placenta barrier).
On the other hand, PROPRAN.--->Safety for use during pregnancy has not been established:eyebrow
I would still opt for PTU , atleast bc everytime when i overlook any Qs im most likely to get it wrong
|
| new_n_lost
Politically InCorrect
Topics: 653
Posts: 6,086
|
C.PTU
___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
|
| |
| | | | | |
