Re: OB: Pre-eclampsia case--More data
From: art fougner, md (evsono@pipeline.com)
Thu Feb 5 06:58:33 1998
Deliver!
the best antepartum is a postpartum.
art
Wed, 4 Feb 1998, Garry E. Siegel, M.D. wrote:
>
>I'm sorry if I neglected that her gestational age was 37 weeks.
>
>I felt that her diagnosis in the office was mild preeclampsia with an
>unfavorable cervix. Because I wanted labwork that day, I sent her to L
>and D for BP monitoring, labwork, and an NST.
>
>Her hematocrit had increased to 40, and her SGOT was 38, with *30* being
>ther upper limit of normal. Her BPs were 140/90 or less.
>
>Now, what do you want to do?
>
>Garry
>
>At Tue, 3 Feb 1998, Garry E. Siegel, M.D. wrote:
>>
>>31 YO Primigravida, 5 feet 2 inches, 170 pounds at 11 weeks, has a
>>prenatal course marked by first trimester spotting, subsequently had an
>>elevated MSAFP risk for Down syndrome, with a normal amnio/ultrasound.
>>
>>Her BPs have been 100 to 120/70 to 80 throughout the pregnancy. At 36
>>weeks she had BPs of 130 to 140 over 90, no protein, no excessive weight
>>gain, and was put on bedrest/twice weekly observation.
>>
>>4 days ago, she had a BP of 140/90, 1+ protein, a reactive NST, a cervix
>>that was 0/25%/floating/post/firm. Lab at that time showed a Hematocrit
>>of 38, normal platelets, and an SGOT of 35 (upper normal is 40). These
>>results were available on Saturday, and she returned for a visit today
>>(Tuesday).
>>
>>Today, her BP was 140/100, repeated 135/80, 1 to 2+ protein, no change
>>in her weight, asymptomatic. Her cervix was unchanged, and her
>>biophysical profile was normal, with an estimated fetal weight of 3996
>>grams.
>>
>>What is your diagnosis, if any?
>>What would you do?
>>
>>Garry
>>
>>--
>>Garry E. Siegel, M.D., FACOG
>>Private Practice
>>Roswell, Ga.
>>
>--
>Garry E. Siegel, M.D., FACOG
>Private Practice
>Roswell, Ga.
>
--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com
