Ob: Chronic Hypertension

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Fri Dec 21 21:03:42 2007


35 YO P0 at 39w3d, seen by our CNMs primarily Donor sperm, IUI by choice (female partner)

No diagnosis ever made of chronic hypertension, but she says that she runs 140/90, and in prenatal visits since 26 weeks in our practice has BP's 135 to 150/85 to 90.

Two weeks ago, placed on Aldoment 250 BID by one partner.

Today saw once CNM for a routine visit, asymptomatic, but 138/90 and sent to L and D for NST and blood work (not sure why, but I wasn't involved in the decision).

BP 140/90 or so in L and D, NST reactive, EFW 2850g, cervix 1.5/50/soft/-2/posterior.

Creatinine 0.6, Platelets 170K, Hematocrit 36, SGOT 34 (upper normal 33).

What is your diagnosis?

What is your plan of action?

Garry

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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