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Re: What would you do, new case From: Robert J. Woolley (wooll005@gold.tc.umn.edu) Sat Jan 11 11:58:31 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel: "Re: What would you do, new case" Previous message: Garry E. Siegel: "Re: What would you do, new case" Maybe in reply to: Garry E. Siegel: "What would you do, new case" Next in thread: rbraun@indyunix.iupui.edu: "Re: What would you do, new case(OLD) Now Proteinuria" Reply: rbraun@indyunix.iupui.edu: "Re: What would you do, new case(OLD) Now Proteinuria" In message <Pine.HPP.3.95.970110230045.3708B-100000@champion.iupui.edu> writes: > I thought that the definition of pre-eclampsia is "The presence of 2 of > the following 3 factors after 20 weeks of gestation due only to the > influence of pregnancy. > 1. Hypertension 140/90 or a rise of 30/15 on 2 occasions 6 hours apart. > 2. Proteinuria 300 mg/24 hours or 1-2+ on 2 dipsticks 6 hours apart. > 3. Edema 5 # wt gain in one week or Facial and Hand edema. > > Or has it changed in the 20th edition of Williams which I haven't seen > yet? > By the above criteria this patient has mild pre-eclampsia IMHO Going through my 1993 list of 6 different sets of diagnostic criteria, this patient meets only the last one, because all the others (including Williams, Danforth, ACOG, and the WHO) require 2+ or more proteinuria. Lest anyone think that insisting on 1+ vs 2+ dipstick protein is quibbling over trivia, please remember that there is a 3-fold difference in these levels, quantitatively. --------------------------------------------------------------------------- --------------------------------------------------------------------------- Bob Woolley -- --------------------------------------------------------------------------- St. Paul, Minnesota "If our Founding Fathers didn't believe we should fry killers and rapists like pieces of bacon, they wouldn't have mentioned the electric chair in the Declaration of Independence, for crying out loud!" --Ed Anger (columnist for the Weekly World News) Next message: Garry E. Siegel: "Re: What would you do, new case" Previous message: Garry E. Siegel: "Re: What would you do, new case" Maybe in reply to: Garry E. Siegel: "What would you do, new case" Next in thread: rbraun@indyunix.iupui.edu: "Re: What would you do, new case(OLD) Now Proteinuria" Reply: rbraun@indyunix.iupui.edu: "Re: What would you do, new case(OLD) Now Proteinuria"

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