Preeclampsia resident survival guide: Difference between revisions

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==Diagnosis==
==Diagnosis==
Shown below is an algorithm summarizing the diagnosis of <nowiki>[[disease name]]</nowiki> according the the [...] guidelines.
Shown below is an algorithm summarizing the diagnosis of <nowiki>[[disease name]]</nowiki> according the the [...] guidelines.
{{familytree/start |summary=PE diagnosis Algorithm.}}
Shown below is an algorithm summarizing the diagnosis of [[Gestational Hypertension]].
{{familytree | | | | A01 | | | A01= }}
 
{{familytree | | | | |!| | | | }}
{{Family tree/start}}
{{familytree | | | | B01 | | | B01= }}
{{Family tree | | | | | | | A01 | | | | | | | |A01= Pregnant woman with history of [[Hypertension]]}}
{{familytree | | |,|-|^|-|.| | }}
{{Family tree | | | | | | | |!| | | | | | | | |}}
{{familytree | | C01 | | C02 | C01= | C02= }}
{{Family tree | | | | | | | B01 | | | | | | | |B01= Take complete history}}
{{Family tree | | | | | | | |!| | | | | | | | |}}
{{Family tree | | | | | | | B02 | | | | | | | |B02= <div style="float: left; text-align: left;  height: 17em; width: 20em;; "> '''Record the [[Vital signs|vitals]]:'''<br>
----
❑ [[Blood pressure]]<br><br>
❑ [[Temperature]]<br><br>❑ [[Respiratory rate]]<br><br>❑ [[Heart rate]] </div>| | | | | | | |}}
{{Family tree | | | | | | | |!| | | | | | | | |}}
{{Family tree | | | | | | | B02 | | | | | | | |B02= <div style="float: left; text-align: left;"> '''Take [[obstetric]] history :'''<br>
----
❑ Date of last  [[menstrual]] period?  <br><br>❑ Estimated date of [[delivery]]<br><br>❑ Confirm the [[gestational]] age, [[gravidity]] and [[parity]].<br><br> ❑ Check if this is a single or multiple [[gestation]].<br><br> </div>| | | | | | | |}}
{{Family tree | | | | | | | |!| | | | | | | | |}}
{{Family tree | | | | | | | B01 | | | | | | | |B01= <div style="float: left; text-align: left;"> '''Ask about previous obstetric history if she was previous pregnant :'''<br>
----
❑ Ask about previous pregnancies including [[miscarriages]] and [[Termination of pregnancy|terminations]]. <br><br>❑ Length of [[gestation]]. <br><br>❑ Ask about mode of delivery. <br><br>❑ Ask if there was similar complaints during previous [[pregnancy]]?<br><br>❑ Was there any complications throughout the [[pregnancy]] or during [[delivery]] such as [[shoulder dystocia]], [[postpartum haemorrhage]] ?<br><br></div>| | | | | | | | }}
{{Family tree | | | | | | | |!| | | | | | | | |}}
{{Family tree | | | | | | | B02 | | | | | | | |B02= <div style="float: left; text-align: left;"> '''Ask the following questions about [[menstrual]] history :'''<br>
----
❑ Age of [[menarche]] <br><br>❑ Last [[menstrual]] period<br><br>❑ Is the [[menstrual]] flow normal? How many pads she has to use in a day? <br><br>❑ Is there any foul smell or colour change?<br><br>❑ How many days does the [[menstruation]] stay?<br><br>❑ [[Contraceptive]] history for example [[oral]] [[contraceptives]], [[intrauterine device]]<br><br></div>| | | | | | | |}}
{{Family tree | | | | | | | |!| | | | | | | | |}}
{{Family tree | | | | | | | B02 | | | | | | | |B02= <div style="float: left; text-align: left;  height: 28em; width: 20em;; "> '''See if following factors are present:'''<br>
----
❑ History of [[hypertension]]<br><br>
❑ [[Kidney disease]]<br><br>
❑ [[Diabetes]]<br><br>
❑ [[Hypertension]] with a previous [[pregnancy]]<br><br>
❑ Mother's age younger than 20 or older than 40<br><br>
❑ Multiple [[fetuses]] ([[twins]], [[triplets]])<br><br>
❑ African-American race<br><br> </div>| | | | | | |}}
{{Family tree | | | | | | | |!| | | | | | | | |}}
{{Family tree | | | | | | | |!| | | | | | | | |}}
{{Family tree | | | | | | | B02 | | | | | | | |B02= <div style="float: left; text-align: left;  height: 37em; width: 20em;; "> '''Ask about associated symptoms OF [[preeclampsia]]:'''<br>
----
❑ Severe [[headaches]]<br><br>
❑ Changes in [[vision]], including temporary loss of [[vision]], [[blurred vision]] or [[light sensitivity]]<br><br>
❑ [[Upper abdominal pain]], usually under [[ribs]] on the right side<br><br>
❑ [[Nausea and vomiting|Nausea or vomiting]]<br><br>
❑ Decreased [[urine output]]<br><br>
❑ Decreased levels of [[platelets]] in your blood (thrombocytopenia)<br><br>
❑ Impaired [[liver function]]<br><br>
❑ [[Shortness of breath]], caused by fluid in the [[lungs]]<br><br> </div>| | | | | | | |}}
{{Family tree | | | | | | | B02 | | | | | | | |B02= <div style="float: left; text-align: left;  height: 20em; width: 20em;; "> '''[[PRE-ECLAMPSIA]]<ref name="pmid23403779">{{cite journal |vauthors=Lo JO, Mission JF, Caughey AB |title=Hypertensive disease of pregnancy and maternal mortality |journal=Curr Opin Obstet Gynecol |volume=25 |issue=2 |pages=124–32 |date=April 2013 |pmid=23403779 |doi=10.1097/GCO.0b013e32835e0ef5 |url= |issn=}}</ref>'''<br>
----
❑ [[Blood pressure]] higher than 140/90 measured on two separate occasions, more than 6 hours apart.<ref name="pmid23403779">{{cite journal |vauthors=Lo JO, Mission JF, Caughey AB |title=Hypertensive disease of pregnancy and maternal mortality |journal=Curr Opin Obstet Gynecol |volume=25 |issue=2 |pages=124–32 |date=April 2013 |pmid=23403779 |doi=10.1097/GCO.0b013e32835e0ef5 |url= |issn=}}</ref><br><br>
❑  Absence of [[protein]] in the [[urine]] and diagnosed after 20 weeks of gestation.<ref name="pmid23403779">{{cite journal |vauthors=Lo JO, Mission JF, Caughey AB |title=Hypertensive disease of pregnancy and maternal mortality |journal=Curr Opin Obstet Gynecol |volume=25 |issue=2 |pages=124–32 |date=April 2013 |pmid=23403779 |doi=10.1097/GCO.0b013e32835e0ef5 |url= |issn=}}</ref>  </div>| | | | | | | |}}
{{familytree/end}}
 


{{familytree/end}}
{{familytree/end}}

Revision as of 13:56, 6 February 2021


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rinky Agnes Botleroo, M.B.B.S.

Synonyms and keywords:

Overview

This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.

Causes

Life Threatening Causes

Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Diagnosis

Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines. Shown below is an algorithm summarizing the diagnosis of Gestational Hypertension.

 
 
 
 
 
 
Pregnant woman with history of Hypertension
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Take complete history
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Take obstetric history :

❑ Date of last menstrual period?

❑ Estimated date of delivery

❑ Confirm the gestational age, gravidity and parity.

❑ Check if this is a single or multiple gestation.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ask about previous obstetric history if she was previous pregnant :

❑ Ask about previous pregnancies including miscarriages and terminations.

❑ Length of gestation.

❑ Ask about mode of delivery.

❑ Ask if there was similar complaints during previous pregnancy?

❑ Was there any complications throughout the pregnancy or during delivery such as shoulder dystocia, postpartum haemorrhage ?

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ask the following questions about menstrual history :

❑ Age of menarche

❑ Last menstrual period

❑ Is the menstrual flow normal? How many pads she has to use in a day?

❑ Is there any foul smell or colour change?

❑ How many days does the menstruation stay?

Contraceptive history for example oral contraceptives, intrauterine device

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
See if following factors are present:

❑ History of hypertension

Kidney disease

Diabetes

Hypertension with a previous pregnancy

❑ Mother's age younger than 20 or older than 40

❑ Multiple fetuses (twins, triplets)

❑ African-American race

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Ask about associated symptoms OF preeclampsia:

❑ Severe headaches

❑ Changes in vision, including temporary loss of vision, blurred vision or light sensitivity

Upper abdominal pain, usually under ribs on the right side

Nausea or vomiting

❑ Decreased urine output

❑ Decreased levels of platelets in your blood (thrombocytopenia)

❑ Impaired liver function

Shortness of breath, caused by fluid in the lungs

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PRE-ECLAMPSIA[1]

Blood pressure higher than 140/90 measured on two separate occasions, more than 6 hours apart.[1]

❑ Absence of protein in the urine and diagnosed after 20 weeks of gestation.[1]
 
 
 
 
 
 
 
 
 
 
 
 
 
 


Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Do's

  • The content in this section is in bullet points.

Don'ts

  • The content in this section is in bullet points.

References

  1. 1.0 1.1 1.2 Lo JO, Mission JF, Caughey AB (April 2013). "Hypertensive disease of pregnancy and maternal mortality". Curr Opin Obstet Gynecol. 25 (2): 124–32. doi:10.1097/GCO.0b013e32835e0ef5. PMID 23403779.


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