Pre-eclampsia history and symptoms: Difference between revisions
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* Every hypertensive pregnant woman should be investigated for the symptoms related to organ damage, even in the absence of proteinuria. | * 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: | * Symptoms of [[preeclampsia]] may include the following: | ||
:* [[Epigasteric pain]] | :* [[Epigasteric pain]] or [[right upper quadrant pain]] | ||
:* | :* [[Frontal]] or [[oxipital]] [[ headache]] | ||
:* [[Visual scotoma]] | :* [[Visual scotoma]] | ||
:* [[Shortness of breath]] | :* [[Shortness of breath]] | ||
:* | :* limbs [[swelling]] | ||
:* [[Altered mental status]] | :* [[Altered mental status]] | ||
:*[[ | :* [[Photophobia]] | ||
==References== | ==References== | ||
Revision as of 15:21, 10 October 2020
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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]
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 twice normal level
- Pulmonary edema
- Intractable headache or visual symptoms
History and Symptoms
- Preeclampsia is usually asymptomatic and may deteriorate rapidly without any specific symptoms. [2]
- 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:
References
- ↑ "Gestational Hypertension and Preeclampsia". Obstetrics & Gynecology. 135 (6): e237–e260. 2020. doi:10.1097/AOG.0000000000003891. ISSN 0029-7844.
- ↑ 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.