Obstetric nephrospeed

10/05/2025

إجابة واضحة وشافية للسؤال الذي يشغل عقل الكثيرين: هل الليبرالية ضد الدين والأخلاق؟

https://www.youtube.com/watch?v=XvMa2UI848I

10/05/2025

تعرف على فكرة السفر عبر الزمن من منظور العلم

https://www.youtube.com/watch?v=kMdBCDPFZhY&t=27s

07/05/2025

Notes about
Management of obstetric cardiac arrest

Manual of Medicine

09/04/2025

Do not use first morning urine void to quantify proteinuria in pregnant women


🫄🏼🤰🏽🤱🏼🤰🏽🤰🏽🫄🏼🫄🏼🤰🏽🫄🏼

28/02/2025

المجموعه المصرية لأمراض الكلى والحمل تهنئكم بحلول شهر رمضان المبارك...أعاده الله علينا وعليكم وعلى الأمة الإسلامية بالخير واليمن والبركات...وفقكم الله لما يحب ويرضى وأعانكم على الصيام والقيام وتقبل طاعتكم

دمحمد السعيد الشافعى
استشاري الكلى والباطنه

14/11/2024

01/11/2024

questions and answers for pre-test ( it is specified to test your knowledge about obstetric nephrology)


Screening asymptomatic bacteriuria by urine culture is routinely done 12-16 week of gestation
The correct answer is yes or true
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Persistent hematuria during pregnancy is an indication for nephrology consultation.
The correct answer is yes or true
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A 24-year-old female patient G1P1 delivered in her 32week of gestation due to eclampsia, do you think follow up of serum creatinine is important The correct answer is yes or true
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Would you think that serum creatinine can be ordered as a routine in first trimester beside CBC and blood group??
The correct answer is yes or true
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In the setting of IVF, proteinuria +1 must be evaluated before the procedure
The correct answer is yes or true
---------------------------------
Do you think ordering pelviabdominal US is important in such situation: A 31-year-old female patient G3P2 presented in her 16 weeks of gestation by Hypertension (BP 145/90mmHg) with proteinuria +1,
The correct answer is yes or true
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DM is a risk factor for pregnancy related Acute Kidney injury (PR-AKI).
The correct answer is yes or true
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Women with lupus nephritis can continue MMF (Mycophenolate mephenolic ) during pregnancy.
The correct answer is no as it is teratogenic
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UP to 20% of patients with eclampsia are thought to have CKD
The correct answer is no as it is teratogenic
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The incidence of (PR-AKI) in the developed countries is 1-2.8% while in developing countries the incidence is 4.2-20%
The correct answer is yes or true
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Vomiting or headache in 16th week of gestation are indications to order serum creatinine
The correct answer is yes or true
------------------------------------
Blood film is a routine investigation in a patient with post-partum AKI and thrombocytopenia
The correct answer is yes or true
---------------------------------
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All the following is indication to consult nephrologist during pregnancy
كل الحالات دي محتاجة دكتور كلى يناظر حالتها للاطمئنان أثناء الحمل
1. Pregnant lady with ectopic kidney.
2. Renal Transplant recipient pregnant lady مريضة زارعة كلى وحامل
3. Pregnant lady with solitary kidney.
4. Pregnant lady with persistent pyuria.
5. Pregnant lady with renal back pressure after 20 weeks of gestation.
6. Pregnant lady who is kidney donor.
7. Pregnant lady with family history of renal disease.
8. Pregnant lady with denovo proteinuria earlier than 20 weeks of gestation.
9. Pregnant lady with creatinine more than or equals 1.1 mg/dl (it is normal in pregnant ladies up to 0.9 mg/dl only)

10/05/2024

When obstetrician should consult nephrologist ????

1. Pre-conceptional

1.1 Impaired kidney function
1.2 Pre-conceptional proteinuria
1.3 Lupus nephritis
1.4 Patients with solitary or ectopic kidney
1.5 kidney transplant recipients.
1.6 Patients with persistent pyuria or pyelonephritis
1.7 patients with chronic hypertension or type 1 DM

2. During pregnancy

2.1 Denovo proteinuria in first half of pregnancy
2.1 Persistent pyuria
2.3 Back pressure on right kidney or left kidney
2.4 Pregnancy related Acute kidney injury
2.5 discovered Chronic Kidney disease
2.6 patients with Polycystic kidney disease or lupus nephritis
2.7 pregnant patient maintained on hemodialysis
2.8 kidney transplant recipients.

3. Post partum

3.1 Post partum acute kidney injury
3.2 post partum eclampsia
3.3Non resolving proteinuria or hypertension after termination of pregnancy in patients with Eclampsia
3.4 Non recovered kidney function after termination of pregnancy in patients with Eclampsia
3.5 Renal patients including ( CKD.Dialysis. kidney transplantation)
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Mansoura obstetric nephrology service
Egyptian Women Nephrology Working Group
عيادة متخصصة لأمراض الكلى والحمل كل يوم أربعاء
التاسعة صباحا
بمركز النساء والتوليد الجديد حامعة المنصورة
المدخل من بوابة مستشفى الأطفال

10/05/2024

Rationale of ordering serum creatinine in first trimester or even preconception
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1. 3% of pregnant lady are suffering from (chronic kidney disease) ...
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2. CKD ( chronic kidney disease ) might be asymptomatic and can be discovered by doing serum creatinine and urine analysis
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3. 3% of pregnant lady starting pregnancy with normal kidney function will be complicated by chronic kidney disease after termination of pregnancy
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4. Constellation of hypertension, Proteinuria and impaired kidney function can be present in Eclampsia.....also CKD can be presented by this triad !!
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5. 20 % of aetiology of of Eclampsia cases are thought to be associated with chronic kidney disease
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6. Ordering serum creatinine before pregnancy or in first trimester is getting more logic for the previous reason n ...it is also to be implicated in New guidelines....it is cheap . Of high diagnostic yield ...can save the mother life from maternal morbidity and mortality if early referral to nephrologist was done( see attached algorithm for follow up of PREGNANT patients with CKD)
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7. Cases of Eclampsia even after termination of pregnancy and delivery might develop persistent proteinuria and or hypertension and lastly chronic kidney disease
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8.The higher the serum creatinine, the lower the GFR .., the higher the incidence of fetal loss or maternal complications
================================
Mansoura obstetric nephrology service
Egyptian Women Nephrology Working Group

عيادة متخصصة لأمراض الكلى والحمل كل يوم أربعاء
التاسعة صباحا
بمركز النساء والتوليد الجديد حامعة المنصورة
المدخل من بوابة مستشفى الأطفال
===============================

12/03/2024