Pre-eclampsia differential diagnosis: Difference between revisions
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| Onset || Before 20 weeks in [[pregnancy]] || [[Blood pressure]] ≥ 140/90 in office and clinic and [[BP]] < 135/85 at home || Normal [[blood pressure]] at office and elevation in other condition || [[Hypertension]] after 20 weeks of [[pregnancy]] with out [[proteinuria]] or [[hematologic abnormality]]|| [[Hypertension]] after 20 weeks of [[pregnancy]] with [[proteinuria]] or maternal organ dysfunction | | Onset || Before 20 weeks in [[pregnancy]] || [[Blood pressure]] ≥ 140/90 in office and clinic and [[BP]] < 135/85 at home || Normal [[blood pressure]] at office and elevation in other condition || [[Hypertension]] after 20 weeks of [[pregnancy]] with out [[proteinuria]] or [[hematologic abnormality]]|| [[Hypertension]] after 20 weeks of [[pregnancy]] with [[proteinuria]] or maternal organ dysfunction | ||
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| Management ||Tightly controlling of [[hypertension]] (110-140/85), Fetal growth monitoring || Example || 24 hours ambulatory [[blood pressure]] monitoring || Tightly controlling [[Blood pressure]] | | Management ||Tightly controlling of [[hypertension]] (110-140/85), Fetal growth monitoring || Example || 24 hours ambulatory [[blood pressure]] monitoring || Tightly controlling [[Blood pressure]] || Tightly controlling [[Blood pressure]] | ||
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| Prognosis || Example || Increased risk of [[preeclampsia]] || Example || Good prognosis, approximately 1/4 progress to[[ preeclampsia]] || may progress to [[eclampsia]] or [[HELLP]] syndrome | | Prognosis || Example || Increased risk of [[preeclampsia]] || Example || Good prognosis, approximately 1/4 progress to[[ preeclampsia]] || may progress to [[eclampsia]] or [[HELLP]] syndrome |
Revision as of 15:02, 12 October 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2]
Differentiating Pre-eclampsia from other Diseases
Differntiating diagnosis of hypertension in pregnancy | Chronic hypertension | White coat hypertension | Mask hypertension | Gestational hypertension | Preeclampsia |
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Onset | Before 20 weeks in pregnancy | Blood pressure ≥ 140/90 in office and clinic and BP < 135/85 at home | Normal blood pressure at office and elevation in other condition | Hypertension after 20 weeks of pregnancy with out proteinuria or hematologic abnormality | Hypertension after 20 weeks of pregnancy with proteinuria or maternal organ dysfunction |
Management | Tightly controlling of hypertension (110-140/85), Fetal growth monitoring | Example | 24 hours ambulatory blood pressure monitoring | Tightly controlling Blood pressure | Tightly controlling Blood pressure |
Prognosis | Example | Increased risk of preeclampsia | Example | Good prognosis, approximately 1/4 progress topreeclampsia | may progress to eclampsia or HELLP syndrome |