Re: What would you do, new case

From: Robert Brenner (robbrenner@earthlink.net)
Tue Jan 7 09:26:42 1997


>I've lost the original post and can't exactly remember the blood pressure
>readings. I don't have a problem delivering her, but would like to see the
>diagnosis pinned down a little better. Using an increase in blood pressure
>of 30 mmHg systolic or 15 diastolic, or a mean arterial pressure of 105 may
>also help with the diagnosis of mild preeclampsia (damn, I wish I had that
>first post!). I'm not too impressed with her (yet) but have also seen
>patients like this with thrombocytopenia and/or "HELLP" syndrome. I'm curious
>to see what happens.
>
>Thanks,
>Ashley
>D. Ashley Hill, M.D.
>dahmd@gate.net
>Orlando, FL

Ashley:

The newest ACOG technical bulletin #219, January 1996 no longer uses the 30 mmHG systolic and 15mmHg diastolic rise in pressure as a criteria for PIH.

--
Robert Brenner MD FACOG
Baltimore MD
Robbrenner@earthlink.net




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