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Re: hypocalciuria in hipertensive disorders From: Ronnie Martinez Brignardello (ronniem@entelchile.net) Sun Feb 27 19:00:43 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey Klein, MD: "Collaboration by Integration of Practices" Previous message: Ronnie Martinez Brignardello: "Re: Opinions please!" ...what is the real value of knowing....the calciuria in the management of PHD everybody ask for it..?? ronnie "Luis Sanchez-Ramos, MD" wrote: > At Sun, 27 Feb 2000, Braun, R. Daniel wrote: > >> By Jove, I think there is a real consensus Here<< > > We also agreed that the fetus would probably be better off in the NICU > than in the hostile environment of the amniotic cavity. However, we > were concerned with the possibility that this fetus may have had a > lethal anomaly. We were unable to delineate the anatomy due to the > severe oligohydramnios. We were able to see dilated loops of bowel > suggesting perhaps imperforate anus. There was little evidence of IUGR > by sonographic parameters i.e: transcerebellar diameter(thought not to > be affected by IUGR)was consistent with a 27 week's gestation. > Similarly, FL/AC ratio was consistent with no evidence of assymetrical > IUGR. The patient had a BP of 140/90 mmHg on a couple of occasions and > 24hr urine collection revealed significant proteinuria (500 mg)and > marked hypocalciuria (46mg/vol). Repeat BPP today was 6/10 but the 2 > points for AFV were due to the small amount of saline infused during the > attempted transabdominal amnioinfusion. She continued to show moderate > to severe variable decelerations (intermittently). This afternoon the > patient was delivered by cesarean (frank breech)and the neonate weighed > 980 gm and had Apgar scores of 7/7 at 1 and 5 minutes respectively. The > neonate of course was admitted to the NICU. I haven't heard of any > anomalies but it appeared to be normal. I want to thank everyone for > their opinion(s). > > Luis Sanchez-Ramos, MD Next message: Geffrey Klein, MD: "Collaboration by Integration of Practices" Previous message: Ronnie Martinez Brignardello: "Re: Opinions please!"

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