arlete
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1. What's the incidence of macrosomia in fetus of DM type 1 or type 2 mothers?
a - 10%
b - 20%
c - 30%
d - 50%
e - 80%
2. Macrosomia increases the risk for C-section and:
a - cardiovascular disease
b - renal disease
c - intracranial hemorrhage and jaundice
d - neonatal infections
e - necrotizing enterocolitis
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| sackatdoc
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dont know the percentages
but cardiovascular diseases is answer for 2nd part of the question.
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| ngaybinhyen
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1. 20% in diabetic mom and ~ 10% in non-diabetic
2. Macrosomia
** Maternal:
- higher incidence of C-section (double that of control subjects)
- birth canal lacerations with vaginal delivery
- Postpartum hemorrhage and blood transfusion
** Fetal
- birth trauma (3-7%) with shoulder dystocia (9.2-24%); brachial plexus injuries (1-4%); and death (0.4%)
** Neonatal
- hypoglycemia (50%)
- polycythemia
- electrolyte disturbances (up to 50%)
- NICU admissions
- congenital anomalies, particularly congenital heart disease
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| nightflight1945
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1-b-20%
I DON'T LIKE THIS SORT OF Qs that asks percent ,
2-c - intracranial hemorrhage and jaundice
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| arlete
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Me neither, just thought it was interesting.
1. d
2. c
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| ngaybinhyen
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Nobody likes them, I guess
We have to deal with, anyway
We, docs don't like numbers  
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| nightflight1945
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Exactly!
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| whitedove
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1c 2d
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| arlete
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It's 1-d 2-c, whitedove.
Edited by arlete on 10/12/08 - 02:37 PM
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| lampard
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whats the answer?
in my opinion 1 (dunno mostly 20%)
2= ICH and jaundice?
arllete you gave contradicting answers
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| yukti_5
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hmm I think if the Q was which is increased in babies born to Diabetic mothers , it would be cardiac disease.
But as for Macrosomia it increases incidence of Intracranial haemorrhage , i think.
not sure it is c or a
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| sackatdoc
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yes youre right yukti, for macrosomia, answer is h'ge and jaundice, otherwise generally any baby born to diabetic moother has higher incidence of cardiac anomalies, first when i answered i didnt read that macrosomia increases.....is the format of the question
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| arlete
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Sorry, guys, I messed up when trying to correct whitedove, I repeated what he said, so I edited my post.
The correct is: 50% and what yukti_5 said is right: macrosomia increases the incidence of IC hemorrhage and jaundice.
Sorry again.
Edited by arlete on 10/13/08 - 05:17 AM
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| yukti_5
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