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==
*''' 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>
*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==
==Overview==

Revision as of 02:28, 25 October 2020

Pre-eclampsia Microchapters

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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

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. [1]
  • 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

  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.

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