Pre-eclampsia history and symptoms: Difference between revisions
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{{Pre-eclampsia}} | {{Pre-eclampsia}} | ||
{{CMG}}; {{AE}} {{Sara.Zand}} {{Ochuko}} | {{CMG}}; {{AE}} {{Sara.Zand}} {{Ochuko}} | ||
==Overview== | |||
==Diagnosis== | ==Diagnosis== | ||
*''' Diagnostic Criteria''' | *''' Diagnostic Criteria''' | ||
| Line 14: | Line 14: | ||
:* [[Thrombocytopenia]]: [[Platelet count]]< 100,000/dl | :* [[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]] | :* [[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 | :* Impaired [[liver function]]: Elevated blood level of [[liver transaminases]] to a twice normal level | ||
:* [[Pulmonary edema]] | :* [[Pulmonary edema]] | ||
:* Intractable [[headache]] or [[visual symptoms]] | :* Intractable [[headache]] or [[visual symptoms]] | ||
==Overview== | |||
==History and Symptoms== | ==History and Symptoms== | ||
* 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> | * 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> | ||
* [[Preeclampsia]] may present the first time intrapartum or early postpartum. | * [[Preeclampsia]] may present the first time intrapartum or early postpartum. | ||
Revision as of 02:23, 25 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]
Overview
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
Overview
History and Symptoms
- 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. [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.