Pre-eclampsia physical examination: Difference between revisions

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{{Pre-eclampsia}}
{{Pre-eclampsia}}
{{CMG}}; {{AE}} {{Ochuko}}
{{CMG}}; {{AE}} {{Sara.Zand}} {{Ochuko}}


==Physical Examinations==
==Overview==
Pre-eclampsia is diagnosed when a [[pregnancy|pregnant]] woman develops high blood pressure (two separate readings taken at least 6 hours apart of 140/90 or more). A rise in baseline BP of 20 systolic or 15 diastolic, while not meeting the absolute criteria of 140/90 is still considered important to note but no longer diagnostic. Swelling, or edema, (especially in the hands and face) was originally considered an important sign for a diagnosis of pre-eclampsia, but in current medical practice, only hypertension and proteinuria are necessary for a diagnosis. However, unusual swelling, particularly of the hands, feet, or face, notable by leaving an indentation when pressed on, can be significant and should be reported to your health-care provider.
Patients with [[preeclampsia]] usually appear [[edematous]] .Physical examination may be remarkable for:[[Hyperreflexia]], [[vision loss]] or [[deficit]], [[altered sensorium]] , [[confusion]], [[Rale]] in [[lungs field]], [[Limbs]] [[edema]]. [[Posterior reversible encephalopathy syndrome]] should be considered in the setting of [[preeclampsia]] in patients with  [[vision loss]] or [[deficit]], [[seizure]], [[headache]], and [[altered sensorium]] or [[confusion]].
 
==Physical examination==
* Patients with [[preeclampsia]] usually appear [[edematous]] .
* Physical examination may be remarkable for:
* [[Hyperreflexia]]
* [[vision loss]] or [[deficit]]
* [[altered sensorium]]
* [[confusion]]
* [[Rale]] in [[lungs field]]
* [[Limbs]] [[edema]]
:* [[Posterior reversible encephalopathy syndrome]] should be considered in the setting of [[preeclampsia]] in patients with  [[vision loss]] or [[deficit]], [[seizure]], [[headache]], and [[altered sensorium]] or [[confusion]].<ref name="IkedaIto2001">{{cite journal|last1=Ikeda|first1=Masahiro|last2=Ito|first2=Shuichi|last3=Hataya|first3=Hiroshi|last4=Honda|first4=Masataka|last5=Anbo|first5=Kazutoshi|title=Reversible posterior leukoencephalopathy in a patient with minimal-change nephrotic syndrome|journal=American Journal of Kidney Diseases|volume=37|issue=4|year=2001|pages=e30.1–e30.3|issn=02726386|doi=10.1016/S0272-6386(01)90016-2}}</ref>


==References==
==References==
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[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Needs overview]]
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Latest revision as of 20:26, 7 November 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

Patients with preeclampsia usually appear edematous .Physical examination may be remarkable for:Hyperreflexia, vision loss or deficit, altered sensorium , confusion, Rale in lungs field, Limbs edema. Posterior reversible encephalopathy syndrome should be considered in the setting of preeclampsia in patients with vision loss or deficit, seizure, headache, and altered sensorium or confusion.

Physical examination

References

  1. Ikeda, Masahiro; Ito, Shuichi; Hataya, Hiroshi; Honda, Masataka; Anbo, Kazutoshi (2001). "Reversible posterior leukoencephalopathy in a patient with minimal-change nephrotic syndrome". American Journal of Kidney Diseases. 37 (4): e30.1–e30.3. doi:10.1016/S0272-6386(01)90016-2. ISSN 0272-6386.