Re: 31 week Toxemia

From: Andrew Folley (agfolley@hotmail.com)
Mon Oct 31 10:57:50 2005


22 YO BF 31week 5 days. Admitted levell !!! hopital with BP 150 over 90s. Twin gestation di/di. 2+ edema, "toxic" appearance. Platelets 168000 and lfts normal coags normal etc. AFIs are 6 and 3 cm respectively. Babies good on Biophysical provfile and normal doppler flows. 24 hour urine shows 3500 mg of protein and cr. clearance 122cc/min. Vertex / transverse cervix 50% closed. Mom constipated, slight nausean no headache or visual problems.

Who wants to delever and by what mode? Who wants to wait watch and treat (how) and what is endoint for your taking steps toward delivery??? andrew

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