An excellent review of the effects that hypertension and any renal disease have on the growing fetus and pregnant mother. This presentation highlights the toxic effects of high blood pressure and nephron loss on pregnancy.

Estimated Time to View: 40 minutes
Target Audience: Fellows, IM Residents, Medical Students, PA’s, NP’s
Author: Hsiao Lai, MD
Author Type: Faculty
Date Created: 2009
Date Published on N.O.D.: 1/15/10
Revisions: 2010 x 2
Disclaimers: None
Resource Type: PowerPoint Slides; no audio
Recommend to a Colleague/Friend

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Web Extra

28 year old who underwent cadaveric renal transplant 26 months ago is now pregnant for 6 weeks. She had CKD secondary to FSGS. Her immunosuppressive medications are MMF, prograf, and prednisone. She has a serum creatinine of 1.2 mg/dl and a urine protein:creatinine ratio of 0.8.

28 year old G0P0 asks you about becoming pregnant. She has IgA nephropathy diagnosed at age 14 and has had gradual increase in creatinine since that time. She is on lisinopril 20 mg daily and denies NSAID use. Her BP is 152/100, 3+ protein on a urine dipstick, and serum creatinine 2.1 mg/dl.

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