Lesson 1Choosin an Citin Guidelines: How Fi Find an Interpret Major Guidelines (e.g., ACOG, FIGO, WHO, SOGC, NICE) an Selectin Recommendations Relevant to Resource-Limited SettingsDis section teach how fi locate, appraise, an apply major guidelines pon high blood pressure disorders in pregnancy, includin ACOG, FIGO, WHO, SOGC, an NICE, an how fi adapt recommendations to local resources an patient preferences.
Findin reputable guideline sourcesUndastandin guideline strength a evidenceComparin ACOG, FIGO, WHO, SOGC, NICEAdaptin guidance to limited resourcesReconciliin conflictin recommendationsDocumentin an citin guideline useLesson 2Clinical History an Risk Factor Assessment: Prior Obstetric History, Antenatal Visit Gaps, Symptoms (Headache, Visual Changes, Epigastric Pain), Medication an Social FactorsDis section detail how fi obtain a focused clinical history fi suspected high blood pressure disorders, includin prior pregnancies, gaps in antenatal care, key warnin symptoms, medications, an social determinants dat modify risk an influence follow-up.
Key elements a prior obstetric historyDocumentin antenatal care gaps an delaysElicitin headache an visual symptomsAssessin epigastric or right upper quadrant painMedication review, includin herbal productsSocial, nutritional, an substance use factorsLesson 3Urine an Protein Assessment: Dipstick Limitations, Spot Urine Protein:Creatinine Ratio, 24-Hour Urine Protein Indications an InterpretationDis section explain methods fi assessin proteinuria in pregnancy, highlightin dipstick limitations, indications fi spot protein–creatinine ratio an 24-hour urine, how fi interpret results, an how timin an collection errors affect accuracy.
Proper midstream urine collection stepsDipstick testin limits an false resultsSpot protein–creatinine ratio indicationsInterpretin protein–creatinine ratio valuesWhen fi order 24-hour urine collectionCommon errors in 24-hour urine samplinLesson 4Blood Pressure Measurement Technique an Interpretation: Clinic Repeat Measurements, Ambulatory/Home Monitorin Principles, Thresholds fi DiagnosisDis section review correct blood pressure technique in pregnancy, includin cuff selection, positionin, timin, repeat readings, an interpretation a clinic an home values, wid diagnostic thresholds an common pitfalls dat can misclassify disease.
Preparin de patient an restin periodCorrect cuff size an arm positioninKorotkoff sounds an readin diastolic BPRepeat measurements an averagin valuesHome an ambulatory BP monitorin basicsDiagnostic thresholds an white-coat effectLesson 5Differential Diagnoses fi Hypertension an Proteinuria in Pregnancy: Urinary Tract Infection, Renal Disease, Molar Pregnancy, Acute Fatty Liver, Thrombocytopenia CausesDis section review key differential diagnoses fi hypertension an proteinuria in pregnancy, includin urinary tract infection, chronic or acute renal disease, molar pregnancy, acute fatty liver, an major causes a thrombocytopenia dat can mimic preeclampsia.
Distinguishin chronic kidney diseaseUrinary tract infection wid hypertensionFeatures a molar pregnancy an GTDAcute fatty liver versus HELLP syndromeImmune an nonimmune thrombocytopeniaOtha secondary causes a hypertensionLesson 6Targeted Imagin: Role an Indications fi Obstetric Ultrasound (Fetal Growth, Amniotic Fluid, Placental Assessment) an Doppler StudiesDis section explain when an how fi use targeted imagin in hypertensive pregnancy, focusin pon obstetric ultrasound fi fetal growth, amniotic fluid, an placenta, an Doppler studies fi assess uteroplacental an fetal circulation an guide timin a delivery.
Indications fi obstetric ultrasoundAssessin fetal growth an biometryEvaluatin amniotic fluid volumePlacental location an morphologyUterine an umbilical artery DopplersUsin imagin fi guide delivery timinLesson 7Initial Bedside an Lab Tests fi Confirm Diagnosis: CBC, Platelets, Liver Enzymes (AST/ALT), Serum Creatinine, Uric Acid, Electrolytes, Coagulation Tests, Blood Type an Antibody ScreenDis section cover essential bedside an laboratory tests used fi confirm an stage hypertensive disorders, includin CBC, platelets, liver enzymes, creatinine, uric acid, electrolytes, coagulation profile, an blood type wid antibody screen, plus basic interpretation.
Bedside assessments an vital sign reviewCBC an platelet count interpretationLiver enzymes an hepatic involvementSerum creatinine an kidney function testsUric acid an electrolyte abnormalitiesCoagulation tests an blood type screeninLesson 8Pathophysiology an Classification: Chronic Hypertension, Gestational Hypertension, Preeclampsia Wid/Widout Severe Features, Eclampsia, HELLP SyndromeDis section outline de pathophysiology a hypertensive disorders in pregnancy an clarify diagnostic criteria fi chronic hypertension, gestational hypertension, preeclampsia wid or widout severe features, eclampsia, an HELLP, emphasizin clinical implications.
Normal cardiovascular changes in pregnancyAbnormal placentation an endothelial injuryDefinin chronic versus gestational hypertensionDiagnostic criteria fi preeclampsiaSevere features an eclampsia recognitionDiagnostic features a HELLP syndrome
