7 Questions
What are some imaging techniques used to diagnose neurologic conditions during pregnancy?
Noncontrast head CT for stroke and noncontrast MRI for less acute neurologic complaints. Cerebral venous thrombosis and arterial dissection may require additional imaging with magnetic resonance venography or arteriography.
What is the importance of excluding preeclampsia in pregnant patients presenting with a headache?
Preeclampsia can cause headaches and is a life-threatening condition that requires immediate treatment.
What are some peripheral nerve disorders associated with pregnancy?
Bell’s palsy, carpal tunnel syndrome, meralgia paresthetica, and restless leg syndrome.
What are the first-line monotherapies for pregnant women with epilepsy?
Lamotrigine and levetiracetam.
What percentage of pregnant women experience nausea and vomiting during the first trimester?
Up to 90%.
What is the management of inflammatory bowel disease during pregnancy?
Medical management parallels the nonpregnant state.
What is intrahepatic cholestasis of pregnancy, and what are its management requirements?
It is a liver condition that requires increased fetal surveillance and delivery by 37 weeks of gestation.
Study Notes
- Neurologic complaints are common in pregnancy and require careful evaluation to differentiate benign symptoms from life-threatening conditions like cerebrovascular accidents (CVAs).
- Noncontrast head CT is required for suspected stroke, while noncontrast MRI is optimal for less acute neurologic complaints.
- Cerebral venous thrombosis and arterial dissection may require additional imaging with magnetic resonance venography or arteriography.
- Exclusion of preeclampsia is important for any patient presenting with a headache after 20 weeks of gestation.
- Peripheral nerve disorders associated with pregnancy include Bell’s palsy, carpal tunnel syndrome, meralgia paresthetica, and restless leg syndrome.
- Lamotrigine and levetiracetam are first-line monotherapies for pregnant women with epilepsy.
- Up to 90% of pregnant women experience nausea and vomiting during the first trimester, with severe cases requiring hospitalization.
- Inflammatory bowel disease may worsen during pregnancy, and medical management parallels the nonpregnant state.
- Pregnancy is a risk factor for gallbladder disease, and intrahepatic cholestasis of pregnancy requires increased fetal surveillance and delivery by 37 weeks of gestation.
- Acute fatty liver is a rare complication of pregnancy that requires delivery and supportive care.
Take this quiz to test your knowledge on the various neurologic and medical complications that can occur during pregnancy. From differentiating benign symptoms from life-threatening conditions, to understanding the first-line monotherapies for pregnant women with epilepsy, this quiz will cover it all. You'll also learn about peripheral nerve disorders, gastrointestinal issues, and liver complications that can arise during pregnancy. Test yourself and see how much you know about these important maternal health topics.
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