Pre-eclampsia diagnostic study of choice: Difference between revisions
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==Overview== | ==Overview== | ||
The diagnosis of [[preeclampsia]] is made when at least two of the following three diagnostic criteria are met: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]] | |||
==Diagnosis== | ==Diagnosis== | ||
*''' Diagnostic Criteria''' | *''' Diagnostic Criteria''' | ||
Revision as of 19:11, 7 November 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
The diagnosis of preeclampsia is made when at least two of the following three diagnostic criteria are met: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
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
References
- ↑ "Gestational Hypertension and Preeclampsia". Obstetrics & Gynecology. 135 (6): e237–e260. 2020. doi:10.1097/AOG.0000000000003891. ISSN 0029-7844.