Re: Preeclampsia Lab Package
From: Luis Sanchez-Ramos (sanchez-ramos@worldnet.att.net)
Sun Jun 28 18:21:04 1998
It can guide you in determining the length of "ripening/induction".
In patients with elevated liver enzymes or evidence of hemolysis, DIC,
etc, the duration of labor can be of some importance.
--
Luis Sanchez-Ramos, MD
At Sat, 27 Jun 1998, Braun, R. Daniel wrote:
>
>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
>,
>"Braun, R. Daniel" writes:
>
>> 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.
>
>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
