Pre-eclampsia diagnostic study of choice: Difference between revisions
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{{CMG}}; {{AE}} {{Sara.Zand}} {{Ochuko}} | {{CMG}}; {{AE}} {{Sara.Zand}} {{Ochuko}} | ||
==Overview== | ==Overview== | ||
The diagnosis of [[preeclampsia]] is made when at least two of the following three diagnostic criteria are met:1. | The diagnosis of [[preeclampsia]] is made when at least two of the following three diagnostic criteria are met: 1.[[Blood pressure]] ([[Systolic blood pressure]] of 140 mm Hg or more or [[diastolic blood pressure]] of 90 mm Hg or more) on two occasions at least 4 hours apart after 20 weeks of [[gestation]] in a woman with a previously normal [[blood pressure]], [[systolic blood pressure]] of 160 mm Hg or more or [[diastolic blood pressure]] of 110 mm Hg or more, 2.[[Proteinuria]] (300 mg or more per [[24-hour urine collection]] or [[Protein/creatinine]] ratio of 0.3 mg/dL or more or Dipstick of 2+), 3. Or in the absence of [[proteinuria]], new-onset [[hypertension]] with the new onset of any of the following: [[thrombocytopenia]]: [[platelet count]]< 100,000/dl, [[renal insufficiency]]: [[serum creatinine]]>1.1 mg/dL or a doubling of the serum [[creatinine]] concentration in the absence of other [[renal disease]], impaired [[liver function]]: elevated blood level of [[liver transaminases]] to a twice normal level, [[pulmonary edema]], intractable [[headache]] or [[visual symptoms]]. | ||
==Diagnosis== | ==Diagnosis== | ||
*''' Diagnostic Criteria''' | |||
*''' Diagnostic Criteria''' | |||
*The diagnosis of [[preeclampsia]] is made when at least two of the following three diagnostic criteria are met:<ref>{{cite journal|title=Gestational Hypertension and Preeclampsia|journal=Obstetrics & Gynecology|volume=135|issue=6|year=2020|pages=e237–e260|issn=0029-7844|doi=10.1097/AOG.0000000000003891}}</ref> | *The diagnosis of [[preeclampsia]] is made when at least two of the following three diagnostic criteria are met:<ref>{{cite journal|title=Gestational Hypertension and Preeclampsia|journal=Obstetrics & Gynecology|volume=135|issue=6|year=2020|pages=e237–e260|issn=0029-7844|doi=10.1097/AOG.0000000000003891}}</ref> | ||
*1.'''[[Blood pressure]] ''' | *1.'''[[Blood pressure]] ''' | ||
:* [[Systolic blood pressure]] of 140 mm Hg or more or [[diastolic blood pressure]] of 90 mm Hg or more on two occasions at least 4 hours apart after 20 weeks of [[gestation]] in a woman with a previously normal [[blood pressure]] | |||
:* [[Systolic blood pressure]] of 160 mm Hg or more or [[diastolic blood pressure]] of 110 mm Hg or more. | :*[[Systolic blood pressure]] of 140 mm Hg or more or [[diastolic blood pressure]] of 90 mm Hg or more on two occasions at least 4 hours apart after 20 weeks of [[gestation]] in a woman with a previously normal [[blood pressure]] | ||
*2.''' [[Proteinuria]]''' | :*[[Systolic blood pressure]] of 160 mm Hg or more or [[diastolic blood pressure]] of 110 mm Hg or more. | ||
*2.''' [[Proteinuria]]''' | |||
:*300 mg or more per [[24-hour urine collection]] or [[Protein/creatinine]] ratio of 0.3 mg/dL or more or Dipstick of 2+ | :*300 mg or more per [[24-hour urine collection]] or [[Protein/creatinine]] ratio of 0.3 mg/dL or more or Dipstick of 2+ | ||
*3.''' Or in the absence of [[proteinuria]], new-onset [[hypertension]] with the new onset of any of the following:''' | *3.''' Or in the absence of [[proteinuria]], new-onset [[hypertension]] with the new onset of any of the following:''' | ||
:* [[Thrombocytopenia]]: [[Platelet count]]< 100,000/dl | |||
:* [[Renal insufficiency]]: [[Serum creatinine]]>1.1 mg/dL or a doubling of the serum [[creatinine]] concentration in the absence of other [[renal disease]] | :*[[Thrombocytopenia]]: [[Platelet count]]< 100,000/dl | ||
:* Impaired [[liver function]]: Elevated blood level of [[liver transaminases]] to a twice normal level | :*[[Renal insufficiency]]: [[Serum creatinine]]>1.1 mg/dL or a doubling of the serum [[creatinine]] concentration in the absence of other [[renal disease]] | ||
:* [[Pulmonary edema]] | :*Impaired [[liver function]]: Elevated blood level of [[liver transaminases]] to a twice normal level | ||
:* Intractable [[headache]] or [[visual symptoms]] | :*[[Pulmonary edema]] | ||
:*Intractable [[headache]] or [[visual symptoms]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Up-to-date]] | |||
Latest revision as of 23:24, 30 July 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Ogheneochuko Ajari, MB.BS, MS [3]
Overview
The diagnosis of preeclampsia is made when at least two of the following three diagnostic criteria are met: 1.Blood pressure (Systolic blood pressure of 140 mm Hg or more or diastolic blood pressure of 90 mm Hg or more) on two occasions at least 4 hours apart after 20 weeks of gestation in a woman with a previously normal blood pressure, systolic blood pressure of 160 mm Hg or more or diastolic blood pressure of 110 mm Hg or more, 2.Proteinuria (300 mg or more per 24-hour urine collection or Protein/creatinine ratio of 0.3 mg/dL or more or Dipstick of 2+), 3. Or in the absence of proteinuria, new-onset hypertension with the new onset of any of the following: thrombocytopenia: platelet count< 100,000/dl, renal insufficiency: serum creatinine>1.1 mg/dL or a doubling of the serum creatinine concentration in the absence of other renal disease, impaired liver function: elevated blood level of liver transaminases to a twice normal level, pulmonary edema, intractable headache or visual symptoms.
Diagnosis
- Diagnostic Criteria
- The diagnosis of preeclampsia is made when at least two of the following three diagnostic criteria are met:[1]
- 1.Blood pressure
- Systolic blood pressure of 140 mm Hg or more or diastolic blood pressure of 90 mm Hg or more on two occasions at least 4 hours apart after 20 weeks of gestation in a woman with a previously normal blood pressure
- Systolic blood pressure of 160 mm Hg or more or diastolic blood pressure of 110 mm Hg or more.
- 2. Proteinuria
- 300 mg or more per 24-hour urine collection or Protein/creatinine ratio of 0.3 mg/dL or more or Dipstick of 2+
- 3. Or in the absence of proteinuria, new-onset hypertension with the new onset of any of the following:
- Thrombocytopenia: Platelet count< 100,000/dl
- Renal insufficiency: Serum creatinine>1.1 mg/dL or a doubling of the serum creatinine concentration in the absence of other renal disease
- Impaired liver function: Elevated blood level of liver transaminases to a twice normal level
- Pulmonary edema
- Intractable headache or visual symptoms
References
- ↑ "Gestational Hypertension and Preeclampsia". Obstetrics & Gynecology. 135 (6): e237–e260. 2020. doi:10.1097/AOG.0000000000003891. ISSN 0029-7844.