Pre-eclampsia differential diagnosis: Difference between revisions

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Revision as of 14:52, 12 October 2020

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
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
Management	Tightly controlling of hypertension (110-140/85), Fetal growth monitoring	Example	24 hours ambulatory blood pressure monitoring
Prognosis	Example	Increased risk of preeclampsia	Example	Good prognosis, approximately 1/4 progress topreeclampsia

References

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@@ Line 5: / Line 5: @@
 ==Differentiating Pre-eclampsia from other Diseases==
-. Another condition that may
+{| class="wikitable"
-be confused with eclampsia or preeclampsia is reversible
+|-
-cerebral vasoconstriction syndrome (50). Reversible
+! Differntiating diagnosis of [[hypertension]] in [[pregnancy]] !! [[Chronic hypertension]] !! [[White coat| [[hypertension]] !! Mask [[hypertension]] !! [[Gestational |[[hypertension]]
-cerebral vasoconstriction syndrome is characterized by
+|-
-reversible multifocal narrowing of the arteries of the
+| 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]]
-brain with signs and symptoms that typically include
+|-
-thunderclap headache and, less commonly, focal neurologic
+| Management ||Tightly controlling of [[hypertension]] (110-140/85), Fetal growth monitoring || Example || 24 hours ambulatory [[blood pressure]] monitoring  ||
-deficits related to brain edema, stroke, or seizure.
+|-
-Treatment of women with PRES and reversible cerebral
+| Prognosis || Example || Increased risk of [[preeclampsia]] || Example || Good prognosis, approximately  1/4 progress to[[ preeclampsia]]
-vasoconstriction syndrome may include medical control
+|}
-of hypertension, antiepileptic medication and long-term
-neurologic follow-up.
-inaccurate.
-Nervous system manifestations frequently encountered
-in preeclampsia are headache, blurred vision,
-scotomata, and hyperreflexia. Although uncommon,
-temporary blindness (lasting a few hours to as long as
-a week) also may accompany preeclampsia with severe
-features and eclampsia (47). Posterior reversible encephalopathy
-syndrome (PRES) is a constellation of a range
-of clinical neurologic signs and symptoms such as vision
-loss or deficit, seizure, headache, and altered sensorium
-or confusion (48). Although suspicion for PRES is
-increased in the setting of these clinical features, the
-diagnosis of PRES is made by the presence of vasogenic
-edema and hyperintensities in the posterior aspects of the
-brain on magnetic resonance imaging. Women are particularly
-at risk of PRES in the settings of eclampsia and
-preeclampsia with headache, altered consciousness, or
-visual abnormalities (49). Another condition that may
-be confused with eclampsia or preeclampsia is reversible
-cerebral vasoconstriction syndrome (50). Reversible
-cerebral vasoconstriction syndrome is characterized by
-reversible multifocal narrowing of the arteries of the
-brain with signs and symptoms that typically include
-thunderclap headache and, less commonly, focal neurologic
-deficits related to brain edema, stroke, or seizure.
-Treatment of women with PRES and reversible cerebral
-vasoconstriction syndrome may include medical control
-of hypertension, antiepileptic medication and long-term
-Pre-eclampsia can mimic and be confused with many other diseases, including chronic [[hypertension]], chronic [[renal disease]], primary [[seizure]] disorders, [[gallbladder]] and [[pancreatic disease]], immune or [[thrombotic thrombocytopenic purpura]], and [[hemolytic-uremic syndrome]]. It must always be considered a possibility in any pregnant woman beyond 20 weeks of [[gestation]]. It is particularly difficult to diagnose when preexisting disease such as [[hypertension]] is present.<ref name=AMN1>{{cite web | title =Preeclampsia-Eclampsia | publisher=Armenian Medical Network | work =Diagnosis and management of pre-eclampsia and eclampsia | url=http://www.health.am/gyneco/more/preeclampsia_eclampsia/ | year = 2003 | accessdate=2005-11-23}}</ref>
 ==References==

Pre-eclampsia differential diagnosis: Difference between revisions

Revision as of 14:52, 12 October 2020

Differentiating Pre-eclampsia from other Diseases

References

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