Post-operative Ileus
Pseudo-obstruction Paralytic ileus Limited to the colon Involves both small bowel and colon Occurs in elderly bedridden patients Any age group particularly in post-operative patients There will be abdominal distension…
Acute Pancreatitis in Pregnancy
Symptomatology Acute pancreatitis in pregnancy presents in a similar way as during nonpregnant status. However, it is difficult to diagnose in pregnancy due to similarity to many acute abdominal illnesses….
Systemic Lupus Erythematosus and Pregnancy
© Springer India 2016Alpesh Gandhi, Narendra Malhotra, Jaideep Malhotra, Nidhi Gupta and Neharika Malhotra Bora (eds.)Principles of Critical Care in Obstetrics10.1007/978-81-322-2686-4_19 19. Systemic Lupus Erythematosus and Pregnancy Hiralal Konar1 and Picklu Chaudhuri2 (1) Department of Obstetrics & Gynaecology, Calcutta National…
Antiphospholipid Syndrome
Primary APS No associated autoimmune disorder Secondary APS Associated with SLE, ITP Familial APS Runs in families with a complex inheritance pattern Catastrophic APS Multiple-vessel thrombosis – life-threatening Laboratory Testing…
Pregnancy with Chicken Pox
Virology Chickenpox (varicella) is caused by a highly contagious DNA herpes virus. Varicella-zoster virus (VZV) is the virus responsible for varicella (chickenpox) and herpes zoster (“shingles”). VZV is a member…
HIV in Critical Pregnancy
© Springer India 2016Alpesh Gandhi, Narendra Malhotra, Jaideep Malhotra, Nidhi Gupta and Neharika Malhotra Bora (eds.)Principles of Critical Care in Obstetrics10.1007/978-81-322-2686-4_17 17. HIV in Critical Pregnancy Atul Munshi1, 2 and Sujal Munshi3, 4 (1) Department of OB-GYN, GCS Medical College,…
Severe Anemia in Critically Ill Obstetric Patients
Trimester Hemoglobin g/dL Hematocrit % First <11 <33 Second <10.5 <32 Third <11 <33 WHO defines anemia in postpartum period as hemoglobin concentration of <10 g/dL [2]. The Indian Council…
Other Endocrine Emergencies in Pregnancy
Primary adrenal insufficiency Secondary adrenal insufficiency Autoimmune disease Pituitary surgery, pituitary/brain trauma Adrenal infections and inflammation Acute interruption of prolonged glucocorticoid therapy After adrenalectomy Adrenal hemorrhagic necrosis caused by meningococcal…
Diabetic Ketoacidosis in Pregnancy
HDU/level 2 facility and/or insertion of central line may be required in the following circumstances (request urgent senior review in pregnant female) Heart or kidney failure Other serious comorbidities Severe…
Neurological Emergencies During Pregnancy
PRES RCVS CVT Eclampsia Mode of onset Rapid, postpartum Abrupt, postpartum Third trimester or later, gradual Antepartum, intrapartum or postpartum Key findings Seizures. May be accompanied by stupor, visual…
