Saturday, July 12, 2014

Preeclampsia

Preeclampsia: hypertension and proteinuria with or without edema which develop during the third trimester

W/U:
All women who present with new-onset hypertension should have the following tests:
  • CBC
  • AST/ALT
  • Serum creatinine
  • Uric acid
  • 24-hour urine collection for protein and creatinine (criterion standard) or urine dipstick analysis
    • Mild: 300mg
    • Severe: 5g
Additional studies to perform if HELLP syndrome is suspected are as follows:
  • Peripheral blood smear
  • Serum lactate dehydrogenase (LDH) level
  • Indirect bilirubin
Management 

  • Deliver the baby if severe

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