Medicine an Surgery notes

Apr 24th, 2015
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IUGR & IUFDDR. SALWA NEYAZICONSULTANT OBSTETRICIAN GYNECOLOGISTPEDIATRIC & ADOLESCENT GYNECOLOGISTIUGRWhat is the definition of IUGR?< 10th centile for age include normal fetuses at thelower ends of the growth curve + fetuses with IUGRThis definition is not helpful clinically< 5th centile for age < 3rd centile for age the most appropriate definition butassociated with adverse perinatal outcomeWhat is the deference between IUGR & SGA?SGA < 10th centile for the population, which means it isat the lower end of the normal distribution ie.Constitutionally small but have reached their full growthpotentialIUGR Failure of the fetus to chieve the expected weightfor a given gestationWhat are the causes of IUGR?Maternal medical conditions1ry placental diseaseChromosomal anomalies &aneuploidyExtremes of maternal ageGenetic & Structural anomaliesLow socioeconomicstatusExposure to drugs & toxinsInfectionsMultiple gestationWhich maternal medical conditions result in IUGR?HPTPETDM with vascular involvementSLEAnemiaSickle cell diseaseAntiphospholipid syndromeRenal diseaseMalnutritionInflammatory bowel diseaseIntestinal parasitesCyanotic pulmonary diseaseHow does the placenta play a role in the development of IUGR?Abnormalities in placental development & trophoblastinvasion Idiopathic or due to maternal disease egSLE, PET, DM, HPTCh

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