a little long but a good one

[IMG SURVIVOR]

A 32 year old woman that is pregnant with her 2 child and is in her 28 week of gestation , comes to the office with edema in her ankles and lower legs, elevate blood pressure and also complains with dysuria her urine test come back with leukocytes + and with proteinuria.

1- What is the DX
2- Do you give her Captopril?
3- If yes or no please explain why
4- Do you give her Tetracycline
5- If yes or no please explain why
6- Can you give her a cephalosporin?

[superoxide]

A 32 year old woman that is pregnant with her 2 child and is in her 28 week of gestation , comes to the office with edema in her ankles and lower legs, elevate blood pressure and also complains with dysuria her urine test come back with leukocytes + and with proteinuria.

1-What is the DX
2-Do you give her Captopril?
3-If yes or no please explain why
4-Do you give her Tetracycline
5-If yes or no please explain why
6-Can you give her a cephalosporin?

1)preeclamsia
2)no
3)ace inhibitors cause renal damage in the fetus
4)no
5)also teratogenic (teeth, inhibits bone growth)
6)yes?:confused:

[IMG SURVIVOR]

vERY GOOD
All the answers are correct.

followup question


What is the difference between penicillin and a cephalosporin of 3 generation?

[superoxide]

vERY GOOD
All the answers are correct.

followup question


What is the difference between penicillin and a cephalosporin of 3 generation?

no idea:(:cry:

[st_55]

penicillins just cover the gram positives simple gram negatives but third generation cephalosporins can cover seriuos gram negative infections as well?

[IMG SURVIVOR]

VERY GOOD
and can you give a cephalosporin to a patient that is allergic to penincillin?

[superoxide]

VERY GOOD
and can you give a cephalosporin to a patient that is allergic to penincillin?

I know this one:) No, you can't. they are cross allergenic with penicillins.