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Re: OB: Fun with preeclampsia--very long! From: Luis Sanchez-Ramos, MD (luis.sanchez@jax.ufl.edu) Mon Jul 30 09:23:54 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: libido increase" Previous message: Richard Chudacoff, MD: "Re: Woman in coma delivers healthy baby" In reply to: Garry Siegel: "Re: OB: Fun with preeclampsia--very long!" Next in thread: Garry Siegel: "Re: OB: Fun with preeclampsia--very long!" Reply: Garry Siegel: "Re: OB: Fun with preeclampsia--very long!" At Sun, 29 Jul 2001, Garry Siegel wrote: >>I will not have easy access to the chart, and once they are discharged, I don't think that I can get a computer printout of the labs<< I'm sure you can get all that information. The lab keeps the results in the computer for many days after they are posted. Why would it be so difficult to get her chart..she is uopur patient >>but I'll find out what the PP platelets and SGOT were (if my partner ordered those tests!)<< if you and your partners felt that this patient had severe preeclasmpsia, you surely ordered serial labs. Remember, it was a very long induction. I would like to know what these values were intrapartum and post-partum, not just the latter. >>If I don't get these values Monday or Tuesday, within a few days I'll see the chart at medical records, and get the info<< Great!! >>Luis, give me a break on the BPs--she clearly had enough systolics over 140 and diastolics over 90 to meet the 140 or 90 criteria<< Garry, this is precisely the point, I don't know that. You have reported figures from the top of your head. I would like to see figures directly obtained from the chart. Believe me, I'm not trying to be difficult. >>Her urine in the office, voided, had no or trace protein. I don't know that it was checked again, and I'm not sure that it needed to be<< It would have been useful if you wanted to be more precise with your diagnosis. >>Serial chemistry panels and CBCs, for the third time, were stable throughout here antepartum course<< I take you mean they were within the range of normal. was this antepartum or intrapartum? >>Luis--pretend I'm Regis Philbin, and this is for one million dollars. > >Based on what you've heard, her diagnosis is: >1. Severe Pre-eclampsia >2. Gestational thromobcytopenia >3. Hemolytic uremic syndrome >4. ITP If these were my choices I would have to select(1) severe preeclampsia. Yes, that is my final answer. However, this patient was not part of the show and I would like more information before having to make a diagnosis. Once the diagnosis is made, the plan of management can be instituted. Garry; You never did answer my last question: **If you had concluded (with additional serial labs and urine dispsticks etc) that the patient did not have preeclampsia, would you still justify the induction?** LSR Next message: Richard Chudacoff, MD: "Re: libido increase" Previous message: Richard Chudacoff, MD: "Re: Woman in coma delivers healthy baby" In reply to: Garry Siegel: "Re: OB: Fun with preeclampsia--very long!" Next in thread: Garry Siegel: "Re: OB: Fun with preeclampsia--very long!" Reply: Garry Siegel: "Re: OB: Fun with preeclampsia--very long!"

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