Pre-eclampsia history and symptoms: Difference between revisions

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{{Pre-eclampsia}}
{{Pre-eclampsia}}
{{CMG}}; {{AE}} {{Ochuko}}
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==Diagnosis==
==Overview==
*''' Diagnostic Criteria'''
The previous classification of [[preeclampsia]] into mild and severe disease is not used now because [[Preeclampsia]] may deteriorate rapidly without any specific [[signs]] and [[symptoms]]. [[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: [[epigastric pain]] or [[right upper quadrant pain]], [[frontal]] or [[occipital]] [[ headache]], [[visual scotoma]], [[shortness of breath]], limbs [[swelling]], [[altered mental status]], and [[photophobia]].
*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 twice normal level
:* [[Pulmonary edema]]
:* Intractable  [[headache]] or [[visual symptoms]]


==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>
 
* [[Preeclampsia]] may present the first time intrapartum or early postpartum.
*[[Preeclampsia]] is usually asymptomatic and may deteriorate rapidly without any specific 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>
* Every [[hypertensive]] [[pregnant]] woman should be investigated for the symptoms related to organ damage, even in the absence of [[proteinuria]].  
*[[Preeclampsia]] may present the first time intrapartum or early postpartum.
* Symptoms of [[preeclampsia]]  may include the following:
* Every hypertensive pregnant woman should be investigated for the symptoms related to organ damage, even in the absence of proteinuria.  
:* [[Epigasteric pain]] or [[right upper quadrant pain]]
*Symptoms of [[preeclampsia]]  may include the following:
:* [[Frontal]] or [[oxipital]] [[ headache]]
:*[[Epigasteric pain]]
:* [[Visual scotoma]]
:*severe[[ headache]]
:* [[Shortness of breath]]
:*[[visual scotoma]]
:* limbs [[swelling]]  
:*[[shortness of breath]]
:* [[Altered mental status]]
:* [[Altered mental status]]
:*[[Convulsion]]
:* [[Photophobia]]


==References==
==References==
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[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Needs overview]]
[[Category:Up-to-date]]
 
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Latest revision as of 17:26, 24 March 2021

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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 previous classification of preeclampsia into mild and severe disease is not used now because Preeclampsia may deteriorate rapidly without any specific signs and symptoms. 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: epigastric pain or right upper quadrant pain, frontal or occipital headache, visual scotoma, shortness of breath, limbs swelling, altered mental status, and photophobia.

History and Symptoms

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.