Sensoryneural hearing loss Carpal tunnel decompression Umbilical hernia repair Difficult intubation Some restrictive lung disease Cervical spine fusion Complications duringafter pregnancy Uncomplicated pregnancy ID: 779908
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Slide1
Clinical historyMitral and aortic valve diseaseSensory-neural hearing lossCarpal tunnel decompressionUmbilical hernia repairDifficult intubationSome restrictive lung diseaseCervical spine fusionComplications during/after pregnancyUncomplicated pregnancyElective CS (due to disproportion of baby/mother) at 37 weeks after steroids (to reduce the risk of respiratory distress syndrome in the neonate)
MPS I: case 1
Slide2Clinical historyMPS IVAJoint pain (improved with ERT)Surgery for lumbar kyphosisat 13 yrsScaphoid prosthesis at 17 yrs, replacement at 28 yrsChronic migraine (improved with ERT)Chronic asthenia (improved with ERT)Gastric Pain : omeprazoleIrregular Menstruation with spaniomenorroe, hyperpilositymiscarriage and an extrauterine pregnancy followed by right salpingectomy in the year before the pregnancyComplications during/after pregnancyParacetamol 1g if needed, omeprazol (gastric reflux)Stopped working after 4 monthsUncomplicated pregnancy
MPS IVA: case 2
Slide3Clinical historyHip surgery at 3, 14 and 25 yrs (bilateral hip endoprosthesis short time before unplanned pregnancy)Menarche at 15-16 yrsMultiple sclerosis diagnosed after pregnancy at age 40 yrsComplications during/after pregnancyUncomplicated pregnanciesHigh relative weight gain during first pregnancy (24%)
MPS IVA: case 3
Mother
(
left
)
with
her
two
daughters
Slide4Clinical historyVery short statureMenarche at 15 yrsComplications during/after pregnancyStopped working during pregnancyUneventful pregnancy until week 33High relative weight gain (18%) Early delivery (week 34) due to disproportion of baby/motherBaby: oxygen feeding tube, 4 weeks neonatal intensive careMother: Mastitis and breast abscess requiring emergency surgery, umbilical hernia requiring surgical repair
MPS IVA: case 4
Slide5Clinical historyDysostosis multiplexHepatosplenomegalyMitral regurgitationCorneal clouding, hypermetropiaChronic joint pain, improved with ERTReduced endurance, improved with ERTAsthenia Chronic migraineFrequent surgery between 8-10 yrs: tonsillectomy, orthopedic surgery for
cervical cord compression, bilateral carpal
tunnel syndrome, lumbar
hyperlordosis
, hip dysplasia, and genu
valgum
Complications during/after pregnancyLumbar pain due to working position (hairdresser); stopped working after 2 months
Paracetamol use for pain/migraineUncomplicated delivery
MPS VI: case 6
Slide6Clinical historyCorneal cloudingAtrial tachycardia, palpitationsAortic valve diseaseNight time seizures since age 29 yrsMild reduction in pulmonary diffusing capacityJoint stiffnessSurgical history: tonsillectomy/adenoidectomy, multiple myringotomy tubes, cholecystectomy, bilateral carpal tunnel releasesComplications during/after pregnancyIncreased spotting at 18 weeksHospitalization for atrial tachycardia medication (metoprolol) adjustment due to hypotension at 23 weeksSurveillance at perinatal center until delivery due to maternal aortic stenosis, atrial tachycardia, and nocturnal seizure history from week 37 on
Contracted maternal pelvis, transverse lie
MPS VI: case 7