Re: Preeclampsia Lab Package

From: Malcolm Griffiths (Malcolm@MGRIFF22.demon.co.uk)
Sat Jun 27 09:53:27 1998


In message <9D916278299FD111A7E100805FA7C2BA011165C2@cheetah.uits.iupui. edu>, Braun, R. Daniel <rbraun@iupui.edu> writes > 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??

>In the patient described above, we all would start MgSO4 and
>induce, regardless of the results of all the tests ergo, why get them??

Sorry to disagree, but I'd induce her but wouldn't give MgSO4, not aware of clear evidence of benefit in this context. I'm loking forward to the MAGPIE trial which will answer the question.

About a lab panel. I have reservations about routinely doing any test which won't influence management (as you suggest might be so here), but I think there is some benefit in defining a standard panel for cases where delivery may not be imminent. If only to avoid all those stupid clotting tests - clotting is never abnormal in pre-eclampsia unless platelets are low. Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997])





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