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OB: HypertensionFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Wed Jul 20 16:05:32 2005
37 YO P1011 at 36w5d, excellent dates. She is a petite patient whose blood pressure in her first pregancy ran 90 to 110/60 to 70; during gyn visits between pregnancies, 110/80 times 3 readings. With her first pregnancy 2.5 years ago, she went up to around 140/90 at 38 weeks, normal lab, no protein, and was managed serially for a while. She was induced around 39-ish weeks, and ultimately arrested at 5 cm. and had a primary LTC/S. Subsequently, she had a missed Ab/D and C. This pregnancy, her BP since the first trimester has been 110 to 120/70 to 80. 2 weeks ago it was 130/85, and today she came in due to feeling poorly--non-specifically, a bit of pressure behind one eye, and increased leg swelling. She denies RUQ pain or scotomata. Her BP at work/somewhere was 142/92. BTW, a repeat section is planned at 39 weeks. Her, the two readings are 145/95 and 150/90 about an hour later. She has only gained 2 pounds in 2 weeks, has a bit of edema, and no proteinura. She is not hyperreflexic. What is your next step? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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