The Pregnant Peritonitis

The gravid uterus can mask the signs of peritoneal irritation (guarding, rigidity and rebound tenderness) by preventing the inflamed organ from contacting the peritoneum. Due to increased white blood cells that naturally occur during pregnancy, leukocytosis is not helpful in identifying acute pathology. A relative increase in blood volume can delay the development of tachycardia […]

HELLP Syndrome

Any pregnant lady in late second or third trimester C/O malaise – Think HELLP (BP may be normal) Treatment of HELLP syndrome is seizure prevention with MgSO4 and controlling BP Getting OBGYN involved early is important to decide on the definitive treatment HELLP by itself is not an indication for LSCS unless there are co-existing […]

Emergency Medicine Kenya Foundation

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