Dear DR.Paul
Ihave 2 EMQ queeries .would you please help me.
1-A 32 year old woman with severe pre-eclampsia has had an emergency caesarean section at 32 weeks gestation because of IUGR. She became hypotensive and tachycardic and was returned to theatre where 2l of blood was evacuated from the abdomen and hysterectomy was performed. Three days later, she developed sudden onset severe chest pain and breathlessness and dies despite resuscitation(the answer would be thromboemblism or pulmonary embolism)
2-A 37 year old woman with her 45 year old partner has been referred to the infertility clinic because of 2 years of primary infertility. The woman has an irregular menstrual cycle every 2-4 months and her partner?s semen analysis shows a volume of 3ml, concentration of 30,million/ml and motility of 60%. The woman?s BMI is 26 and there is no significant past medical history. Investigations have confirmed a diagnosis of polycystic ovary syndrome which has not responded to treatment with clomephene citrate over 6 months.(in this case of clomephene resistance would I proceed to metforminor GNRHa induction orgo directly to LOD)
THANK YOU
