Re: hypocalciuria in hipertensive disorders
From: Luis Sanchez-Ramos (luis.sanchez@jax.ufl.edu)
Mon Feb 28 08:09:13 2000
I think you will do better sticking to Obgyn net in Spanish. I cannot
understand what you're trying to say.
LSR
At Sun, 27 Feb 2000, Ronnie Martinez Brignardello wrote:
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>...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
>
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>...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
>
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