Consider if ocular assessment is needed or not:

Established retinopathy can rapidly progress during and up to 1 year after pregnancy and can lead to sight-threatening deterioration. The greater the degree of preconceptional retinopathy, the greater is the risk of retinopathy progressing during pregnancy. The absence of retinopathy before conception confers very small risk of development of significant retinopathy during pregnancy. Nontheless, significant retinopathy can develop and progress during pregnancy, even if not identified preconceptionally. Additional risk factors for progression of retinopathy during pregnancy include preexisting hypertension, poorly controlled hyperrtension during pregnancy, preeclampsia and poorly glycemic control at the onset of and during pregnancy. Therefore:

R 1.5c Suggest that pregnant women diagnosed with overt DM, not known to have retinopathy, perform ocular assessment as soon as after conception and then periodically as indicated.(2++) 

Is retinopathy established?

  • Yes
  • No

Map: Management of overt diabetes (DM) and gestational diabetes (GDM) (305)
Node: 7724
Score:

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OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • Put on gloves
  • Υπερηχογράφημα Triplex αρτηριών κάτω άκρων
  • To protect us from any spills. White is a colour where most spillages are visible depending solution colour
  • Diploide y Haploide
  • Αξονική τομογραφία
  • Οφθαλμολογική Εξέταση
  • To protect our clothes underneath. White matches with any skin colour tone
  • Dominante y recesivo
  • Ensure you have one person with you
  • If BMI in normal range:
  • Προγραμματίζετε μια αξονική τομογραφία εγκεφάλου
  • Jezen je in ne želi se družiti z nobenim.
  • Εργαστηριακός έλεγχος
  • Exlpain the procedure and ask for consensus
  • Follow up visit after ER
  • If the pregnant is overweight:
  • Οφθαλμολογική εξέταση
  • He accepts it.
  • Ακτινολογικός έλεγχος του σκελετού
  • Genotipo y Fenotipo
  • Patient consumes more than 5 cups of coffee daily
  • Ακτινολογικός έλεγχος του σκελετού
  • To avoid our Professor telling us off
  • Αναθεώρηση περιστατικού 2
  • He says goodbye to her.
  • Ask if the patient has been rested for at least 15 minutes
  • Talk about sleep quality
  • Αναθεώρηση περιστατικού 5
  • To avoid ripping it making it dirty it from outside the lab
  • Lab coat may transfer hazardous materials to the outside general area and contaminate the area
  • Αναθεώρηση περιστατικού 4
  • Respuesta 1
  • He is mad and doesn’t speak to her.
  • Ask if the patient has been rested for at least 10 minutes
  • Styren tar over saken og bestemmer i samarbeid med meg at assistenten får oppfølging og veiledning fra styren og meg ukevis
  • Gjør og sier ingenting mer. Det er ikke mitt problem måten at hun oppfører seg
  • Ask if the patient has been rested for at least 5 minutes
  • Je vesel in želi spoznati novo učiteljico.
  • Αναθεώρηση περιστατικού 3
  • Consider if ocular assessment is needed or not:

Reminder

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FINISH

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