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Re: A case of preeclampsiaFrom: Richard Kaplan (mrkaplan@nr.infi.net)Thu Jan 30 21:36:16 1997
>Dear list, > >I would like to submit a recent case. > >20 yo G2P0100, previous pregnancy ended 2 years ago by c/s at 26 wk for >eclampsia, now with 28 wks (good dates and adequate prenatal care) came to >ER complaining of severe headache and restlessness. BP upon arrival: >190/120 (all the previous BPs registered on her prenatal card were around >100/70). Pt was completely conscious and lucid, but she looked >apprehensive, tremulous. She had limb and facial edema, hyperreflexia >(+++). FH was 26, normal uterine tone, FHR 140, no uterine activity nor >cervical changes. The rest of the physical examination was unremarkable >(including fundoscopy). > I would continue MgS04 therapy, and get some blood work (creatanine, LFTs, platelets). If these are within normal limits then I would give steroids to induce fetal lung maturity and maybe get a 24 hour urine for protein and Ccr. I doubt you'll get more than 48 hrs. but I don't think you have to move to delivery immediately as long as she is stable on Mag and the fetus is OK.
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