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Re: Preeclampsia Lab PackageFrom: Braun, R. Daniel (rbraun@iupui.edu)Sat Jun 27 21:25:41 1998
I repeat my original question; Why do we need more than the CBC with platelet count???? int he patient I described. Do you have any literature to back up your feelings about Uric acid??? I ahve found that if it is elevated in a patient with borderline findings of toxemia then it helps me make the diagnosis, but even that is my own clinical impression and I have no literature to back it up. How many of you out there have one patient like the one I described that getting this whole panel of tests would make any diference. If that patient has markedly abnormal test, I am going to start MgSO4 and induce her and if those tests are normal, I am going to start MgSO4 and induce her. So what value are the tests if they do not lead to a change in management? Dan -----Original Message----- From: Dr Eberhard W Lisse To: Multiple recipients of list Sent: 6/26/98 1:15 PM Subject: Re: Preeclampsia Lab Package In message <9D916278299FD111A7E100805FA7C2BA011165C2@cheetah.uits.iupui.edu>, "Braun, R. Daniel" writes:
> Why do we persist in obtaining all these useless labs on our I always felt that uric acid was the first indicator of deterioration. In my country it costs the same doing a gamma-GT or the whole LFT, because it runs through the same automated analyzer. Same for FBC/CBC, done by the coulter counter. And U+Es mean a Potassium, Urea and Creatinine here. I wonder what the Chem-20 stands for. I also wonder what one would need a manual differential for. The manual tests are the expensive one. That reminds me, why don't we maybe list the prices of these tests? el
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