Monday, March 25, 2013

Two Patients

A 30 year old G3P1 African-American woman with BMI 35kg/m2 and a past medical history of hypertension presents for a prenatal visit. Her prior baby was a 37 week 10 pound newborn who was admitted to the NICU for respiratory distress syndrome, hypoglycemia, hypocalcemia, hypomagnesemia, and polycythemia.

Challenge: Why?

Image is in the public domain, from Wikipedia.


sibogox said...

maternal hyperglycemia? gestational diabetes?

Alex said...

maternal gestational dm

Craig Chen said...

yep! the case was probably too easy :)
Two Patients

The patient has several risk factors for diabetes in pregnancy, and her previous child shows symptoms and signs of being an infant of a diabetic mother.

Source: UpToDate.