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Re: What would you do, new caseFrom: Dr Eberhard W Lisse (el@lisse.na)Sat Jan 4 00:07:54 1997
>>>> Upon return at 38 weeks, she remains symptom free, gained 1 pound, has 1 + >>>> voided protein (no other positives on dipstick), and has a BP of 138/94, >>>> repeated 140/85. >> > >>First, give her all the "preeclampsia warnings". Second, consider checking >labs (plt, LFTs) -- I know you cost conscoious guys will agrue about the >labs :-) --I had a very similar patient and when I got her CBC her plt count >was about 30K, LFTs were off the wall. Needless to say I delivered this >timebomb real fast! Yes, I'd like to see a CBC, LFTs, Urea and Electrolytes and a Uric Acid. Cost doesn't play a role here, because you have a diagnosis to mmake. I'd admit her and observe her BP. If it settles and the lab stays normal one can hold off the induction but if not, one can do it. el
-- Dr. Eberhard W. Lisse \ / Swakopmund State Hospital <el@lisse.NA> * | Resident Medical Officer Private Bag 5004 \ / +264 64 461503 (pager) 461005 (h) 461004 (f) Swakopmund, Namibia ;____/ Zone/Domain Contact for the NA-DOM Vice-Chairman, Board of Trustees, Namibian Internet Development Foundation, an Association not for Gain. NAMIDEF is the Namibian Internet Service Provider.
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