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Re: OB: Fun with preeclampsia--very long! From: Garry Siegel (garrys@mindspring.com) Mon Jul 30 19:59:27 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: WANTED TO HAVE A BABY" Previous message: Dr. Rupak Ranjan Roy: "Polyhydramnios" In reply to: Luis Sanchez-Ramos, MD: "Re: OB: Fun with preeclampsia--very long!" Next in thread: D. Ashley Hill, MD: "Re: OB: Fun with preeclampsia--very long!" Reply: D. Ashley Hill, MD: "Re: OB: Fun with preeclampsia--very long!" > >>>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? > Intrapartum (which is also antepartum), and yes the chemistries and CBC was repeated serially. Abnormal values--creatinine 1.1, stable throughout 1.0 to 1.1 platelets 95K, range 89 to 101K SGOT--30, normal, and was essentially the same several times. **UNCLE*** I have posted the data, the BPs, etc., and I do not wish to spend 30 to 60 minutes finding this chart and copying/writing down 3 days of labs and BPs--sorry, Luis, enough is enough. > >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?** > I overlooked that. If she did not have preeclampsia, and did not have gestational hypertension, then I would not have induced her. Ashley: She delivered vaginally! Given what you know (please read my original post, if needed, and add in no protein), would you really have sat on her for 6 hours--primip at term, elevated BPs by virtue of diastolics and 30/15 change (yes, we don't use it), creatinine of 1.1, platelets of 95K with normal platelets twice in pregnancy? So, listers, would you have given her Magnesium Sulfate? Garry :) -- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice Next message: Paul Prior MD: "Re: WANTED TO HAVE A BABY" Previous message: Dr. Rupak Ranjan Roy: "Polyhydramnios" In reply to: Luis Sanchez-Ramos, MD: "Re: OB: Fun with preeclampsia--very long!" Next in thread: D. Ashley Hill, MD: "Re: OB: Fun with preeclampsia--very long!" Reply: D. Ashley Hill, MD: "Re: OB: Fun with preeclampsia--very long!"

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