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Re: 31 week ToxemiaFrom: doctorjoe@aol.comMon Oct 31 11:22:39 2005
Watch her for a day and give steroids, if not massively improved, deliver. She's obviously "got" preeclampsia. Bedrest will improve it temporarily and then it'll get worse. The best you can do is stall for steroids. As far as Mg++, that's a toss-up. I don't like Mg++ for patients like this not moving toward delivery. Joe P. -----Original Message----- From: Andrew Folley <agfolley@hotmail.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Mon, 31 Oct 2005 11:59:36 -0600 Subject: Re: 31 week Toxemia 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 _________________________________________________________________ On the road to retirement? Check out MSN Life Events for advice on how to get there! http://lifeevents.msn.com/category.aspx?cid=Retirement -- _________________________________________________________________
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