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Re: What would you do, new caseFrom: HMarchbein@aol.comSat Jan 4 22:03:41 1997
"I'm willing to guess that I'll be the exception here, but I would not >place any diagnosis on this. I would start seeing her more frequently >(twice weekly), and react if the bp went up more or the protein became >2+, or even if she developed a true generalized edema (not just wt gain). >But for now, heightened scrutiny, but no definitive intervention." I agree with Ashley, Bob and Myer. And.......I think Kelly made a great point about the LFTs. Watch closely, act upon significant changes and make sure to check that pesky platelet count. 24 hour urine is OK but plt. count, LFTs and BP would impress me more. Larry is right on the mark about bed rest but I've used modified house arrest (modified as opposed to strict bedrest) preferably in left lateral. We used to use uric acid levels when I was a resident, but in and of itself, no big deal. It's the gestalt (5 terms of college German paying off) that makes the diagnosis. Harvey Harvey S. Marchbein, M.D. FACOG Private practice, Long Island, N.Y. ******************************** It's better to be lucky than to be smart. Even a smart person can have an off day!
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