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Kaplan Qbank USMLE



Author4 Posts
  #1

list imp. diseases seen with ;

* polyhydramnious
*oligohydramnious

  #2

Causes:
Polyhydramnios
Twin gestation with twin-to-twin transfusion (increased amniotic fluid in the recipient twin and decreased amniotic fluid in the donor) or multiple gestations, which can lead to twin-to-twin transfusion syndrome

Fetal anomalies, including esophageal atresia (usually associated with a tracheoesophageal fistula), tracheal agenesis, duodenal atresia, and other intestinal atresias.

CNS abnormalities and neuromuscular diseases that cause swallowing dysfunction,

Maternal type 2 diabetes mellitus (more often than in oligohydramnios)

Oligohydramnios
Fetal urinary tract anomalies, such as renal agenesis, polycystic kidneys, or any urinary obstructive lesion (eg, posterior urethral valves)

Maternal problems, including placental insufficiency, PROM, and chronic leakage of the amniotic fluid: The major maternal complication from oligohydramnios is chorioamnionitis, which has an incidence of 21-74%. The earlier chorioamnionitis occurs in pregnancy, the greater the fetal risk of bronchopulmonary dysplasia (BPD); neurologic complications; pulmonary hypoplasia; and, in severe cases, respiratory failure.

Maternal use of prostaglandin synthase inhibitors or angiotensin-converting enzyme (ACE) inhibitors

Postmaturity syndrome in infants when a pregnancy extends beyond 42 weeks’ gestation (possibly caused by a decline in placental function)

  #3

good list thanx

  #4

thanks







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