Thứ Tư, 4 tháng 1, 2017

Youtube daily goo Jan 4 2017

So the story behind the Lama shirt it's

actually the font of strava but I've

made myself now I'm used to service

called redbubble.com fidelis trading

company based here in a moment but

they're pretty much global now they're

very much an art based company i don't

really go for the art side of things I

go for cheap t-shirts and logos you can

get on pretty quick and today I have

another delivery the postman might be a

bit aggressive but the teacher should be

ok let's have a look at what i ordered

today

ok we have another Lamas shirt same as

the one I've got

also we have another orange one in

strava orange and we have a bit of a

piece take on Team dimension dollar

the show's themselves a pretty good

quality lost a couple of months for me

i'll go small all the details here on

the packets one thing tonight that was

the printing it's not perfect 141 colors

that you see on the screen but that's

actually pretty good to the llama on the

grades pretty good

obviously the white comes out perfectly

against the orange but overhear that you

don't really get a bright green kind of

a bit dollars a bit of blurring here and

under under the eye in the a here not

really that special but look for the

prices for what it does for a bit of a

fun ripoff longer seems to work alright

so one mistake I made early on is the

logos i have another shirt or a way to

lure across the center so i put them

quite high up across the chest the high

quality graphics that better and also

you have to play around with transparent

backgrounds and things like that i'll

put the link below to redbubble my

redbubble profile we can order any of

these shirts and a few tips about

resolutions and what you can up like

it's free to sign up and play around

again not an advertisement i buy all

these myself and I wear them all the

time as you've seen you can print that

mugs & skirts and blankets and phone

covers and stickers and things like that

one funny story was are taking the peace

out of western australia being isolated

from the rest of Australia and its

really a Perth versus East Coast kind of

thing happening so i made a swift logo

that was with us but only western

australia i loved it and guys are

putting out and putting on there are

thereby cases for their travel so it's

pretty cool what you can actually do and

they were ordering off my site for that

so anyway check it out below is my shirt

you shall see them a tour down under

thanks for watching

For more infomation >> RedBubble.com - My LAMA Tees - Duration: 3:09.

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I'm Sorry Kang Nam Goo Ep 13 - Duration: 37:56.

(Episode 13)

Hello.

I'm glad you're here.

What are you doing here?

She's Jae Min's mom.

Hello, Ma'am.

Honey, she's your daughter-in-law.

You remember Ms. Jung, don't you?

Yes, of course.

She saved my husband.

Our paths cross again. If only I had known sooner.

So is everything all right?

It is.

This feels good.

Mom!

The salon ordered...

three jjamppong, not three tangsuyuk.

I see. My bad.

Did you do this on purpose?

Here I am being taught a lesson while Mo Ah's at a mansion.

Don't be so harsh on your mom.

She's too worried about Mo Ah.

Jae Min, eat as much as you want.

I will, Grandpa.

- It's absolutely delicious. - Absolutely?

What do you want next?

They say it's easy to miss what's in front of you,

but who knew you'd be so nearby?

Mo Ah, you can call me Mother now.

I will, Mother.

Good.

So which college did you graduate from?

I never went to one.

I see.

She was a smart student,

but she gave up college to support me and her brother.

I'm amazed by who she's become without any support herself.

So your parents...

died in a car accident.

Yes, they sold vegetables out of their pickup truck...

and they died in a car accident.

Thankfully, I had an aunt who looked out for me and my brother.

I see.

Was she mean to you in any way?

- Sorry? - I'm just asking because...

they didn't seem that well-off to take in more children.

To me and Mo Ah, she's like our parent.

Parent?

Of course.

Min Joon, now it's your turn to take care of them.

I will.

We should've asked Hui Joo to join us.

We're talking about Min Joon's little sister.

We sent the troublemaker to study in the states.

When is she coming home? She should right away.

She's volunteering in Africa during winter break...

and won't be home until next month.

She seemed so excited when I told her we had found Min Joon.

This is great. You now have a sister too.

That reminds me.

We should have his name changed immediately.

Do Hoon just doesn't stick with me.

But I like my current name.

Min Joon's the name your dad came up with personally.

It's all right. There's no rush, Do Hoon.

Is this good?

- Good. - Thank you.

Min Joon... No, I mean Do Hoon.

Have you decided on when to move in?

No, not yet.

Why not?

Are you worried that I'll be mean to Mo Ah?

No, of course not. We'll move in as soon as we can.

We should officially meet your family before that.

We'd love to have everyone over.

It should just be her aunt and uncle...

and not the entire extended family.

Her aunt's in-laws took our children in.

It'll be rude not to.

Tae Hak's right. I'll plan it right away.

Anyway, my aunt wanted me to bring you this.

She didn't have to. We know how busy she is.

It's deodeok and honey. I hope you like it.

That is so generous of her.

Please tell her that I'm very grateful.

I will.

Where on earth did Nam Koo run off to?

He went to the bus company to find a purse.

Did you find it? Let me see.

Is it Nam Hui's?

No, it already has an owner.

It looks low rent.

It's not yours anyway, so give it back.

Can't I at least have some fun with it?

All right. Don't take too long with it though.

I won't.

It looks expensive. Whose is it?

It belongs to someone extremely annoying.

Well, return it fast.

You're getting Nam Hui's hopes up.

Nam Koo.

Are you done?

Not exactly.

Can you come over here?

Where's the purse?

I'm sorry.

This is why I said no at first.

Don't yell at me.

I can always pay for it.

- With what money? - I have some.

So how much is it? Does it cost 3 or 5 dollars?

Never mind. Don't worry about it.

You stay right here. I'll go inside and get the money.

You'll be at the opening, right?

You've got to be kidding me.

You must've been curious...

to actually come by today.

What's this?

- Is it a gift? - As if.

It's the purse you lost on the bus.

How did you find it?

Just so you know, it wasn't easy.

This is very expensive.

I'll pay for it then, all right?

Good. I'm sure you know how expensive it is.

It costs over 10 grand.

10 grand?

You did go out of your way to find it,

so pay me back by helping me.

- How? - Model for my website.

You seem like a good choice.

Every gig is worth 500 dollars.

I can't believe you're asking me to model.

- My account number is... - 1,000 dollars a gig.

Deal.

Just know that I'm not doing this for the money.

I didn't ask you because I had no one else to.

Excuse me.

Dad, this is a surprise.

Right now?

There's no need.

- He hung up on me. - Why say no?

Mobster or not, he's still your dad.

He's here, outside the office.

What?

Why are you here?

He looks scary which is fit for a mobster.

I don't need your permission.

You should've just quietly remarried,

but instead you're doing this.

I was forced down the aisle by you with my previous husband,

so I guess I could do it again.

I knew she wasn't someone to mess with,

but that's a mobster she's talking to.

He looks awfully familiar though.

The presidential election's next year.

Hang on. The presidential election?

Is that Cha Sang Soo?

Yes, it's him.

My gosh. No wonder he looked familiar.

Is he gone? Why is it so quiet?

Dad,

there's someone I like.

What's going on?

The man I fancy...

is him.

Nam Koo, this is my dad.

Hello, Sir!

You're more courteous than I thought.

If I had known, I would've introduced him to you.

How can I not be to a mobster?

- I don't want to get beaten up. - Didn't you see my dad?

I didn't need to. His voice just screamed mobster.

I was intimidated for nothing.

Mobster or assemblyman. They're both bad anyway.

Let's think about this. He's an assemblyman.

She's the daughter of one that's aiming to be president.

Okay.

I've got this.

All right.

Go home in this. It's yours now.

I'm good. We can just take the bus.

Now you're embarrassing me. Don't be like that and take it.

Actually, he doesn't know how to drive.

You don't know how to drive?

He's great on a scooter though.

My gosh.

No worries. You can always get it now.

There's a lot you'll have to learn now.

Just take it.

It's rude to turn down what your parents give.

All right. I'll get my license then.

I didn't make any mistakes, did I?

No, you were perfect.

How was I though?

You?

I should've recorded it for the world to see.

You were like a robot...

saying yes or no to questions asked.

Next time, add in a little smile.

All right.

I feel silly for being scared now.

Your mom was very nice to me.

Why didn't you tell me that his wife is Mo Ah?

I didn't know that you'd like her so much.

Who says I liked her?

I only played nice so that they'll move in fast.

How on earth do I introduce her at my gatherings?

All the daughter-in-laws there have great education.

I'm exhausted, so I'll go and rest.

Ma'am, what should I do with these?

Do you even need to ask?

Take it yourself or throw it out.

Do whatever you want.

Sure.

What's taking them so long?

What if they come empty handed?

Who cares?

We can now eat off them as much as we want.

Yes, cunningly.

Instead of being jealous,

I should embrace my in-laws.

- We're home. - We're home.

My children, there you are. Come on in.

Grandma,

since when do you call them your children?

Since today. How's that?

How was it at your in-laws? Were you polite and everything?

Yes, they were good to me.

Gosh, it's freezing.

I see you're home.

Mom, what's with the car parked outside?

I had to park somewhere else because of it.

Who on earth parked their car in front of our house?

Tell them to move it!

Hang on. Shin Ae, we should have it towed.

That car...

It's my dad's.

Grandpa gave it to him and it's really nice.

Can I see your car keys?

Sure.

Don't park it elsewhere. Just leave it there.

No one will look down on us now that we have a posh sedan parked outside.

The spot's too good for your lousy car anyway.

That's not why I asked for it.

I want to take it out for a spin.

Where's Auntie?

She's inside her room. Go to her.

We will.

Chun Soo.

Do you think you can ask him to swap cars?

No, just ask for a new one instead.

Why stop there? Ask for a house too.

I'm good. Besides, I'm more comfortable with my lousy car.

The bruises on Do Hoon's face.

Who did that to him?

Director Yang's son whose also his college friend.

Director Yang's son?

That's right. I gave him an earful, so you should look the other way.

Our sales are up 300 percent than what it was last year.

The hair care business played a huge role in those results.

Director Yang was the only one...

who brought in more business than the previous year.

Sir, we should add a few years when we renew his contract.

I see.

Director Yang, you did well.

It was my pleasure, Sir.

I owe it all to you.

Starting tomorrow,

look for somewhere else to work.

That's all for today's meeting then.

Sir.

Please forgive me. I didn't know he was your son.

Why were you at the police station?

If Park Do Hoon weren't my son,

he'd be in lock up or worse.

That's not true, Sir. Please forgive me this once.

Shut it!

Because of people like you,

people like my son had to face discrimination.

If it were even remotely possible,

I'd want nothing more than to punish your entire family for it.

You want my forgiveness?

Believe me when I say that...

I just gave it to you.

Could you spare me some time? I'd like to talk.

Hello, Mother.

Hi, have a seat.

Call me Ma'am at work and Mother at home.

I'm sorry, Ma'am.

I thought you'd quit your job now.

I didn't think that I needed to.

If that's what you want, I'm not going to stop you.

However,

we in this family all know how to keep secrets.

That's why...

I'd like to hold off on announcing that you're Do Hoon's wife.

It's only for a little while.

Just until Do Hoon finds his foot here at the company.

I'll do as you wish.

You should be the one to tell him.

Do you understand what I mean by that?

Of course.

What do you mean you're quitting?

- Did you find another job? - No,

something just came up.

I'm sorry.

- Hello? - I see you're still alive.

Hi, Nam Koo.

I called to say I was sorry for leaving early that day.

- So where are you? - I'm on my way to class.

What class? You weren't in English class today.

I'm learning how to drive.

You're going to a class for that?

I can get my license at a driving school.

Are you loaded?

No.

Anyway, shouldn't we practice on the road?

I already know the basics.

What if we get in an accident?

That's why I asked if you had money.

Do you know how to ride a motorcycle?

Yes, I guess.

Then you'll easily see this.

Driving is all about checking the rear-view mirror.

Let's go then.

Stop, stop!

Maybe I should go to a driving school.

No, that's all right.

Let's try that again.

Think of the car as your family.

- Okay. - Be gentle on the gas pedal.

Now let's back out.

Gently. Relax, my friend.

You were arrested by the police for a fist fight with Young Tae?

He kept speaking ill of you, so I avenged you.

That was childish a move at best.

Wouldn't you have done that for a friend as well?

A friend?

Of course I would've. You should've beaten him to a pulp.

So you have an older sister.

I do. She's very beautiful.

From what I saw,

she's your soft spot.

She's ill.

Ill? Is it bad?

She's not hurting here, but here.

She's intellectually disabled.

I see.

Just thinking about her...

hurts me inside.

I know what you mean. I have someone like that too.

You mean your wife?

So how's it going with the story about finding your parents?

Forget what I said that day.

It was only a joke.

What's all this?

The young madam brought it with her.

Ms. Hong told me to discard it, so I brought you half.

Who's the young madam?

Nam Koo, check this out. My boss found his son.

Really?

If that were the case, we'd have seen it on the news.

Why would I lie to you?

My back still hurts from having to cook...

for him, his wife and their son.

That's great news.

The CEO and his wife must be thrilled.

Whoever he is, that's one lucky man.

Would you like me to help with dinner today?

No, I'm good.

That's great.

- Uncle Man Soo. - Yes?

My parents want to officially meet you.

They do? Well, we're happy to meet them too.

Who else should we take with us?

Should it be just us?

What about the others then?

Hold it right there.

Don't be absurd.

In-law gatherings are all about who has the bigger family.

If you two go alone, you'll only be intimidated.

So the more, the better?

Really?

It's been a while since we've all been out.

Come on.

Don't you dare be intimidated just because they're rich.

Press your shoulders back and hold your head up high.

This isn't a war, Grandma.

It's good you mentioned that.

An in-law gathering is a war between two families.

Mom, a war is only worth fighting when there's a chance of winning.

There isn't one with our opponent today.

It's you I'm most worried about.

That's what I'd like to say.

My gosh, look at how shabby your clothes are.

Chun Soo, let's hurry. We don't want to be late.

Rushing will only lead to an accident.

Calm and steady wins the race, remember?

I'm mortified that we have to ride this piece of garbage though.

No, this is perfect.

They might see this and buy us a new car.

Stop calling my car a dump.

If you hate it that much, you can take the bus.

Shin Ae, you take the bus.

- Gosh. - Mom, let's go.

- Here. - Dad...

This is exquisite.

Ma'am, I do hope you like the food today.

Well, it's okay I guess.

I see that Mo Ah's brother isn't here today.

He has an important test.

I'll bring him by to meet you some other time.

Good.

Thank you so much...

for taking good care of Do Hoon all this time.

Being kind and generous as he is, he practically raised himself.

I'm still very grateful.

I'm happy to see that he grew up with a loving family.

Thank you.

While we're at it,

could you tell us when you'll give us the rights to the food court?

No.

We didn't do anything to deserve that.

We don't know how to manage one anyway.

Come on.

We could always learn how to do it.

Also, it's true that we took good care of Do Hoon,

so of course we deserve it.

Mom, managing a food court isn't something that's easy.

One wrong move and...

we'll only cause damage to the department store.

Mom, Chun Soo's right.

We're not worthy.

Why on earth isn't our family worthy?

Can I make a suggestion?

I hear you own a Chinese restaurant.

Do you own the building too?

Oh my. If we did own the building,

we wouldn't want the rights to the food court.

Sook Ja, did you pay this month's rent?

Well,

how about we buy you the new building...

right across your Chinese restaurant?

What a joke that family is.

Not one of them had any dignity.

They all seemed nice to me.

Besides, they took our boy in.

Giving them the world wouldn't be enough.

They only did that to use him.

What?

I think that's enough for one day.

Anyway, let's go public once Do Hoon moves in.

Keep a lid on Mo Ah though.

What on earth does that mean?

Just wait until I transform her into someone worthy of our name.

If you don't,

then I won't accept her.

Gosh, take a look at that.

- Everyone, listen up! - Listen up.

The seven-story building accommodates 40 office spaces.

If the estimated monthly rate is 1,000 dollars...

It's 40,000 dollars a month.

Oh my gosh! Our sufferings are now over.

Mom, please calm down.

Just know that you owe this all to me.

We should set up a restaurant on the first floor.

We can't sit around and do nothing.

Dad, please.

I already left out the top floor for us.

Think of the view.

Won't it be hard for you to make deliveries?

Dad, please.

Why would the owner's daughter ever do that?

What?

We'll still have to work.

Shin Ae, take that back to the restaurant.

Sook Ja, don't you dare decline their offer this time.

Mother, I don't want to be in their debt.

Have you thought of what Mo Ah will have to go through?

Say what you want, but this calls for a vote.

All in favor, raise your hand.

Me.

Me!

Chun Soo, why aren't you raising your hand?

Because I know what the outcome will be.

Man Soo, look.

Shin Ae, take the board back to the restaurant.

You can't do this to us.

You're nothing but a tyrant.

Well, that's that then.

- Unbelievable. - I was happy for a moment there.

I was so close.

We could've ruled the world.

It's not much, but take it.

I've been saving up Do Hoon's salary.

(Park Do Hoon)

This isn't necessary.

He's right. You should...

I should what? Are you looking down on us already?

Of course not. Thank you so much.

I need you to answer me.

Will you look down on Mo Ah now that you're a CEO's son?

Sorry?

Auntie, don't be ridiculous.

Why would he ever do that?

Answer me then. Will you or won't you?

I won't.

Even though she's an orphan?

No.

Even though she annoys you?

No.

Even though she only has had minimal education?

No.

Good. Now hurry up and pack.

Still, it's too soon.

It's growing uncomfortable with you two here.

Now Mo Ah, are you sure you can be a good daughter-in-law?

Of course. I'll do my best, so don't worry.

Good.

They'll love you even if you're only as half as good as you were here.

If things get too tough for you though,

don't hesitate to tell me, all right?

I won't.

You have to promise to live happily too.

Turn the boiler up when it's cold.

Sometimes leave the restaurant to Shin Ae and go on vacations.

Also,

for everything you've done for me...

Gosh, I forgot I turned on the stove.

This is my family photo album.

These are what my mom bought me.

This belonged to my dad.

There's nothing to throw out.

We should throw out that table though.

But your dad bought that for you.

We should take it and leave no regrets.

I didn't know that I'd be leaving this house like this.

Are you nervous...

about living with your in-laws?

Yes, a bit.

I'm nervous too.

I've never lived with my parents before.

I'm going to think of them as my parents.

They somewhat are since they're yours.

Do Hoon, it was great having you here.

Take good care of Mo Ah.

Don't worry. We promise to visit often.

Uncle Man Soo, I'll come by every day.

I'm going to miss you so much.

I'll come and visit sometime soon,

but tell your mother-in-law I said hi.

Yes, of course.

Mo Ah, don't forget how good I was to you.

I even changed Jae Min's diapers.

You remember that, right?

Of course. I'll never forget that.

Auntie.

Run along now. It's not like you're moving across the country.

Off you go. We'll be saying goodbye all night at this rate.

We'll get going then.

I wish you both the best.

Come around anytime for jjajangmyeon.

- I'll go and get some gloves. - Be quick.

Mo Ah.

- Hello, Mother. - There's no need to unpack.

Sorry?

It's all getting thrown out, so you don't need to unpack.

Watch and Download App at Offical site HDFree.Se to support us

For more infomation >> I'm Sorry Kang Nam Goo Ep 13 - Duration: 37:56.

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DotA 1 Zeus Beyond Godlike Crazy kill-DotA 6.83d Style8x - Duration: 44:22.

For more infomation >> DotA 1 Zeus Beyond Godlike Crazy kill-DotA 6.83d Style8x - Duration: 44:22.

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Wave Scarf :: English Subtitles Available - Duration: 17:24.

🎵

Hi guys, how are you doing?

Today I'm gonna show you how to knit this scarf

I used Barroco Maxcolor on it, it's a 100% cotton yarn

There's more information about it on this link

On my blog there's the written pattern and the print button

Don't forget to give me your "like" and subscribe

If you click on the bell you won't miss my new videos

If you're watching my on my blog and you have a question just leave a comment below this post.

I'll answer it a.s.a.p

On instagram you can use #blogbyday to share your photos with me ^^

This way I can see your results, we can share knit photos and all that ok?

Big kiss to you. Hope you'll like this scarf, see you next week. Tchau!

This is the Barroco Multicolor I'm gonna use here

226 meters (200g) , 885 tex, color 9184, Yd:247,15 yd.

Size 6mm (US 10) (UK 4) knit needle

I'll use the circular but you can use straight ones as you prefer.

scissors

Cast on 16+ 2 sts = 18 sts

Row 1: knit all sts.

Row : slip the first st and knit the row.

Row 3: slip the first st, k6, yo, k1, 2yo, k1, 3yo, k1, 2yo, k1, yo, k7.

Row 4: slip the first st, knit the row.

Rows 5 and 6: slip the first st and knit the row.

Row 7: slip first st, k1, yo, k1, 2yo, k1, 3yo, k1, 2yo, k1, yo, k6, yo, k1, 2yo, k1, 3yo, k1, 2yo, k1, yo, k2.

Row 8: slip the first st, knit the row.

Rep rows 1 to 8

I knitted 62 waves

Row 3: slip the first st, k6, yo, k1, 2yo, k1, 3yo, k1, 2yo, k1, yo, k7.

Row 4 and 5: slipt the 1st st and k the row.

Bind off.

Fringes: cut 30 pieces of 30 cm

For more infomation >> Wave Scarf :: English Subtitles Available - Duration: 17:24.

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🔥 Trap Type Beat - "Do What I Do" (Prod by: X Beatz) - Duration: 3:41.

www.IAmXBeatz.com

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陳娟兒 - 時間倒回 - Duration: 4:52.

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A4Tech Bloody V8M Oyuncu Mouse + Mouse Pad Kutu Açılımı - İnceleme - Duration: 10:47.

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♂♀ Причины: Почему женщина не хочет секса? | Почему девушка не хочет секса? [Secrets Center] - Duration: 3:24.

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Ep 1(2/3)Clementine - The Walking Dead: A New Frontier PL NAPISY - Duration: 25:38.

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Pizza trucks cartoons for children, construction truck video, cars cartoon, videos for kids toddlers - Duration: 13:41.

Pizza trucks cartoons for children, construction truck video, cars cartoon, videos for kids toddlers

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হট শাশুড়িকে হট জামাই এ কি করল Bangla Choti 420 - Duration: 16:44.

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Efsane Texture Pack Ve Rip Razer [TAŞAK-MC-SG] - Duration: 10:50.

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Preeclampsia & eclampsia - causes, symptoms, diagnosis, treatment, pathology - Duration: 6:47.

Preeclampsia is a disorder that only happens in pregnant women - it occurs after 20 weeks'

gestation, and in some cases develops up to 6 weeks after delivery.

Preeclampsia causes new-onset hypertension and proteinuria - protein in the urine, which

is a marker of kidney damage - and can also cause damage to other organs like the brain

and liver.

There can be a wide range of symptoms - for some women there may be no symptoms or only

mild ones, whereas for others, it can turn into a life-threatening illness.

If a woman with preeclampsia develops seizures, she is said to have eclampsia.

Preeclampsia tends to occur more often during a first pregnancy, in pregnancies with multiple

gestations, or in mothers 35 years or older.

Other risk factors include having hypertension, diabetes, obesity, or a family history of

preeclampsia.

Okay but why do these changes happen in preeclampsia and eclampsia?

Well, the exact cause is unclear, a key pathophysiologic feature though is the development of an abnormal

placenta.

Normally, during pregnancy, the spiral arteries dilate to 5-10 times their normal size and

develop into large uteroplacental arteries capable of delivering large quantities of

blood to the developing fetus.

In preeclampsia, these uteroplacental arteries become fibrous causing them to narrow, which

means less blood gets to the placenta.

A poorly perfused placenta can lead to intrauterine growth restriction and even fetal death in

severe cases.

At this point, the hypoperfused placenta starts releasing pro-inflammatory proteins.

These thenn get intol the mother's circulation and cause the endothelial cells that line

her blood vessels to become dysfunctional.

Endothelial cell dysfunction causes vasoconstriction - narrowing of the blood vessels - and also

affects the kidneys in a way that makes them retain more salt, both of which result in

hypertension.

When diagnosing preeclampsia, hypertension is defined as a systolic blood pressure of

140 mmHg or greater or diastolic blood pressure of 90 mmHg or greater.

In severe preeclampsia, systolic blood pressure can be 160 mmHg or greater and diastolic blood

pressure can be 110 mmHg or greater.

These extreme blood pressures can lead to a hemorrhagic stroke or placental abruption,

in which the placenta detaches prematurely from the uterine wall.

There can also be local areas of vasospasm - which means that less blood might reach

certain parts of the body.

For example, reduced blood flow to the kidneys, which are particularly susceptible, can cause

glomerular damage leading to oliguria - very little urine - and proteinuria . Normally,

the glomeruli of the kidneys do a good job of preventing protein from spilling into the

urine, so proteinuria can be a sign of glomerular damage and is a classic sign of preeclampsia.

Reduced blood flow to the retina can cause blurred vision, the sensation of seeing flashing

lights, and the development of a scotoma.

A scotoma is when a small part of the visual field has slightly worse visual acuity - a

bit like having a blurry spot on an otherwise normal computer monitor.

Reduced blood flow to the liver can cause severe liver injury and swelling, which can

cause an elevation in liver enzymes and stretches out the capsule around the liver.

Stretching of the liver capsule typically causes right upper quadrant pain, or epigastric

pain, which is one of the cardinal symptoms of severe preeclampsia.

Endothelial injury also leads to the formation of lots of tiny thrombi in the microvasculature,

a process that uses up massive amounts of platelets.

Having all of these tiny blood clots in the blood is a bit like having dozens of boulders

in the middle of a fast moving river.

It becomes treacherous for red blood cells to navigate through, and before long, they

slam up against a clot and get destroyed - a process called hemolysis.

Together these make up HELLP syndrome (H = hemolysis, EL = elevated liver enzymes, LP = low platelets).

HELLP syndrome develops in about 10 to 20% of women with severe preeclampsia or eclampsia.

Finally, endothelial injury increases vascular permeability, allowing water to slip out of

blood vessels between neighboring endothelial cells and get into the tissues.

Because there's also a loss of protein from the blood due to the proteinuria, even more

fluid moves from the blood vessels into the tissues.

This causes generalized edema which is often seen in the legs, face and hands; pulmonary

edema which can cause cough and shortness of breath; and cerebral edema which can cause

headache, confusion, and seizures.

Seizures define the onset of eclampsia.

Because all of the problems of preeclampsia and eclampsia stem from placental dysfunction,

the ultimate treatment is delivery of the fetus and placenta.

The decision to induce delivery depends heavily on the gestational age of the fetus as well

as the severity of the disease and how it's affecting both maternal and fetal health.

If the onset of symptoms comes after delivery, then the goal is to manage the symptoms which

slowly subside on their own.

Additional measures are aimed at managing any end-organ damage by offering supplemental

oxygen, medication to manage seizures, and other complications like stroke or placental

abruption.

As a quick recap, preeclampsia is a disorder that occurs after 20 weeks' gestation and

up to 6 weeks following delivery.

It is defined by a new onset of hypertension and proteinuria but can affect many organs,

particularly the kidneys, eyes, liver, and brain.

Eclampsia is diagnosed when a patient with preeclampsia develops seizures.

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For more infomation >> Preeclampsia & eclampsia - causes, symptoms, diagnosis, treatment, pathology - Duration: 6:47.

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