Pre-eclampsia history and symptoms: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
No edit summary
 
(38 intermediate revisions by 4 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Pre-eclampsia}}
{{Pre-eclampsia}}
{{CMG}}; {{AE}} {{Ochuko}}
{{CMG}}; {{AE}} {{Sara.Zand}} {{Ochuko}}


==Diagnosis==
==Overview==
===History and Symptoms===
The previous classification of  [[preeclampsia]] into mild and severe disease is not used now because [[Preeclampsia]] may deteriorate rapidly without any specific [[signs]] and [[symptoms]]. [[Preeclampsia]] may present the first time intrapartum or early postpartum. Every [[hypertensive]] [[pregnant]] woman should be investigated for the symptoms related to organ damage, even in the absence of [[ proteinuria]]. Symptoms of [[preeclampsia]]  may include the following: [[epigastric pain]] or [[right upper quadrant pain]], [[frontal]] or [[occipital]] [[ headache]], [[visual scotoma]], [[shortness of breath]], limbs [[swelling]], [[altered mental status]], and [[photophobia]].
Pre-eclampsia is usually asymptomatic, hence its detection depends on signs or investigations. Nonetheless, one symptom is crucially important because it is so often misinterpreted. The epigastric pain, which reflects hepatic involvement and is typical of the [[HELLP syndrome]], may easily be confused with heartburn, a very common problem of pregnancy. However, it is not burning in quality, does not spread upwards towards the throat, is associated with hepatic tenderness, may radiate through to the back, and is not relieved by giving antacids. It is often very severe, described by sufferers as the worst pain that they have ever experienced. Affected women are not uncommonly referred to general surgeons as suffering from an acute abdomen, for example acute cholecystitis.


In general, none of the signs of pre-eclampsia is specific; even convulsions in pregnancy are more likely to have causes other than [[eclampsia]] in modern practice. Diagnosis, therefore, depends on finding a coincidence of several pre-eclamptic features, the final proof being their regression after delivery.
==History and Symptoms==
===Physical Examinations===
* The previouse classification of [[preeclampsia]] into mild and severe disease is not used now because [[Preeclampsia]] may deteriorate rapidly without any specific [[signs]] and [[symptoms]]. <ref name="BrownMagee2018">{{cite journal|last1=Brown|first1=Mark A.|last2=Magee|first2=Laura A.|last3=Kenny|first3=Louise C.|last4=Karumanchi|first4=S. Ananth|last5=McCarthy|first5=Fergus P.|last6=Saito|first6=Shigeru|last7=Hall|first7=David R.|last8=Warren|first8=Charlotte E.|last9=Adoyi|first9=Gloria|last10=Ishaku|first10=Salisu|title=Hypertensive Disorders of Pregnancy|journal=Hypertension|volume=72|issue=1|year=2018|pages=24–43|issn=0194-911X|doi=10.1161/HYPERTENSIONAHA.117.10803}}</ref>
Pre-eclampsia is diagnosed when a [[pregnancy|pregnant]] woman develops high blood pressure (two separate readings taken at least 6 hours apart of 140/90 or more). A rise in baseline BP of 20 systolic or 15 diastolic, while not meeting the absolute criteria of 140/90 is still considered important to note but no longer diagnostic. Swelling, or edema, (especially in the hands and face) was originally considered an important sign for a diagnosis of pre-eclampsia, but in current medical practice, only hypertension and proteinuria are necessary for a diagnosis. However, unusual swelling, particularly of the hands, feet, or face, notable by leaving an indentation when pressed on, can be significant and should be reported to your health-care provider.
* [[Preeclampsia]] may present the first time intrapartum or early postpartum.
===Laboratory Findings===
* Every [[hypertensive]] [[pregnant]] woman should be investigated for the symptoms related to organ damage, even in the absence of [[proteinuria]].  
A finding of 300 mg of protein in a 24-hour urine sample ([[proteinuria]]) is necessary for a diagnosis of pre-eclampsia.
*  Symptoms of [[preeclampsia]]  may include the following:
Some women develop high blood pressure without the proteinuria (protein in urine); this is called [[Pregnancy-induced hypertension]] (PIH) or gestational hypertension.  Both pre-eclampsia and PIH are regarded as very serious conditions and require careful monitoring of mother and baby.
:* [[Epigasteric pain]] or [[right upper quadrant pain]]
:* [[Frontal]] or [[oxipital]] [[ headache]]
:* [[Visual scotoma]]
:* [[Shortness of breath]]
:* limbs [[swelling]]
:* [[Altered mental status]]
:* [[Photophobia]]


==References==
==References==
Line 22: Line 27:
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Cardiology]]
[[Category:Cardiology]]
 
[[Category:Up-to-date]]
[[Category:Needs overview]]
 
{{WH}}
{{WS}}

Latest revision as of 17:26, 24 March 2021

Pre-eclampsia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pre-eclampsia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pre-eclampsia history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Pre-eclampsia history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pre-eclampsia history and symptoms

CDC on Pre-eclampsia history and symptoms

Pre-eclampsia history and symptoms in the news

Blogs on Pre-eclampsia history and symptoms

Directions to Hospitals Treating Pre-eclampsia

Risk calculators and risk factors for Pre-eclampsia history and symptoms

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 previous classification of preeclampsia into mild and severe disease is not used now because Preeclampsia may deteriorate rapidly without any specific signs and symptoms. Preeclampsia may present the first time intrapartum or early postpartum. Every hypertensive pregnant woman should be investigated for the symptoms related to organ damage, even in the absence of proteinuria. Symptoms of preeclampsia may include the following: epigastric pain or right upper quadrant pain, frontal or occipital headache, visual scotoma, shortness of breath, limbs swelling, altered mental status, and photophobia.

History and Symptoms

References

  1. ↑ Brown, Mark A.; Magee, Laura A.; Kenny, Louise C.; Karumanchi, S. Ananth; McCarthy, Fergus P.; Saito, Shigeru; Hall, David R.; Warren, Charlotte E.; Adoyi, Gloria; Ishaku, Salisu (2018). "Hypertensive Disorders of Pregnancy". Hypertension. 72 (1): 24–43. doi:10.1161/HYPERTENSIONAHA.117.10803. ISSN 0194-911X.
Retrieved from "https://www.wikidoc.org/index.php?title=Pre-eclampsia_history_and_symptoms&oldid=1695256"