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Re: Preeclampsia Lab PackageFrom: Braun, R. Daniel (rbraun@iupui.edu)Fri Jun 26 07:04:34 1998
Why do we persist in obtaining all these useless labs on our patients who are pre-eclamptic?? Do we really need to get liver functions and uric acids on the 17 Y/O who presents at 39 weeks with a BP of 140/90 and 3+ proteinuria?? I propose that all we need is a hemoglobin and a platelet count. Has anybody ever seen such a patient as described above who had clinically significant HELLP syndrome without epigastric pain or low platelets. In fact by definition, she has to have low platelets to have HELLP syndrome. So why get all these tests that will not change our management? In the patient described above, we all would start MgSO4 and induce, regardless of the results of all the tests ergo, why get them?? If you set up a pre-eclamptic panel, there will be people (& lawyers) who think that it is required on all pre-eclamptics. This is really one of my soap boxes, please don't take offense. Dan
> -----Original Message-----
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