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Re: OB: Hypertension From: Anna Meenan, MD (annam@uic.edu) Wed Jul 20 18:19:56 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gerald P. Rodríguez: "Re: Our pernicious legal system" Previous message: Anna Meenan, MD: "Re: Our pernicious legal system" In reply to: Garry E. Siegel, M.D.: "OB: Hypertension" Next in thread: Garry E. Siegel, M.D.: "Re: OB: Hypertension**twhat happened" Reply: Garry E. Siegel, M.D.: "Re: OB: Hypertension**twhat happened" Reply: R. Daniel Braun: "Re: OB: Hypertension" Labs? -- Anna Meenan, MD At Wed, 20 Jul 2005, Garry E. Siegel, M.D. wrote: > >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 > Next message: Gerald P. Rodríguez: "Re: Our pernicious legal system" Previous message: Anna Meenan, MD: "Re: Our pernicious legal system" In reply to: Garry E. Siegel, M.D.: "OB: Hypertension" Next in thread: Garry E. Siegel, M.D.: "Re: OB: Hypertension**twhat happened" Reply: Garry E. Siegel, M.D.: "Re: OB: Hypertension**twhat happened" Reply: R. Daniel Braun: "Re: OB: Hypertension"

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