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Re: Severe PIH 34 weeks From: Barbara Nicol (blnicol@ix.netcom.com) Thu May 24 18:32:34 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Severe PIH 34 weeks" Previous message: Meisel Richard L.: "Re: Severe PIH 34 weeks" No point in doing a 24 hour urine with negative dipstick? Au contraire, mon ami! Much of the time that there is _no_ protein on dipstick there will actually be _greater than 300 mg in 24 hours_ when HTN is present. Am J Obstet Gynecol. 1994 Jan;170(1 Pt 1):137-41, just for example. IMHO, it's quite frequently worth sending the 24 hour urine when the dip is negative - less so when significantly positive, unless the patient is so severely preterm that you need to dot every i before recommending delivery. Wonder if Andrew's patient was dip neg or trace during the second 24 hour urine collection? - Barb Nicol, M.D. F.A.C.O.G. St. Luke's Health Care Center San Francisco >----- Original Message ----- From: "Raymond Stephen" <stephen.raymond@dhhs.tas.gov.au> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Thursday, May 24, 2007 3:48 PM Subject: Re: Severe PIH 34 weeks > Pre-existing, or essential, hypertension can lead to pre-eclampsia, so > the time of the onset of the pre-eclampsia needs to be watched for. If > there is no proteinuria on dipstick then there is no point in doing a > 24-hour urine. Next message: Efrain Ramirez: "Re: Severe PIH 34 weeks" Previous message: Meisel Richard L.: "Re: Severe PIH 34 weeks"

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