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Re: 31 week Toxemia From: art fougner, md (evsono@pipeline.com) Mon Oct 31 12:48:06 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Berg: "Medisoft - EMR" Previous message: doctorjoe@aol.com: "Re: 31 week Toxemia" In reply to: doctorjoe@aol.com: "Re: 31 week Toxemia" Next in thread: Joe: "Re: 31 week Toxemia" with the info given, i'd go for steroids and then let the patient and/or fetuses direct further action. there's not enough here to trigger action. any more labs back as of yet, lft's, uric acid, etc? art At Mon, 31 Oct 2005, doctorjoe@aol.com wrote: > >Watch her for a day and give steroids, if not massively improved, deliver. > >She's obviously "got" preeclampsia. Bedrest will improve it temporarily and then it'll get worse. The best you can do is stall for steroids. > >As far as Mg++, that's a toss-up. I don't like Mg++ for patients like this not moving toward delivery. > >Joe P. > >-----Original Message----- >From: Andrew Folley <agfolley@hotmail.com> >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Sent: Mon, 31 Oct 2005 11:59:36 -0600 >Subject: Re: 31 week Toxemia > >22 YO BF 31week 5 days. Admitted levell !!! hopital with BP 150 over 90s. Twin gestation di/di. 2+ edema, "toxic" appearance. Platelets 168000 and lfts normal coags normal etc. AFIs are 6 and 3 cm respectively. Babies good on Biophysical provfile and normal doppler flows. 24 hour urine shows 3500 mg of protein and cr. clearance 122cc/min. Vertex / transverse cervix 50% closed. >Mom constipated, slight nausean no headache or visual problems. > >Who wants to delever and by what mode? Who wants to wait watch and treat (how) and what is endoint for your taking steps toward delivery??? andrew > >-- -- art fougner, md "I knew I was going to take the wrong train, so I left early." Lawrence Peter Berra Next message: R. Berg: "Medisoft - EMR" Previous message: doctorjoe@aol.com: "Re: 31 week Toxemia" In reply to: doctorjoe@aol.com: "Re: 31 week Toxemia" Next in thread: Joe: "Re: 31 week Toxemia"

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