Pre-Eclampsia (Deep Dive MW R17)
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Description
Hypertensive Emergencies of Pregnancy
PreEclampsia, Eclampsia, HELLP syndrome
Diagnosis: BP >140/90 plus end organ dysfunction
* Acute Kidney Injury
* Proteinuria
* Thrombocytopenia
* Transaminitis
* Hemolysis
* Pulmonary Edema
* Cerebral Edema / Hemorrhage
* Headache refractory to tylenol
* Visual Changes
* RUQ Pain not attributable to another diagnosis
Treatment
* Loading Dose: IV Magnesium 4-6g over 20-30 min OR 5g IM in each buttock
* Maintenance Dose: 1g/hr IV
* Antihypertensives (goal 20% reduction): Labetalol, Nicardipine, Hydralazine
* Delivery of fetus and placenta
More Episodes
You are working at Clerkship General when one of the nurses comes and grabs you. “Hey doc, we need you in bed 10. I think this patient is having a stroke.”
Initial Vitals:
HR: 51
BP: 201/98
Temp: 98.0F
RR: 18
O2: 99% (Room Air)
Critical...
Published 05/01/24
Published 05/01/24
* Common during the first year of life as well as during puberty
* Presents with nausea/vomiting, abdominal pain, and/or testicular pain
* ALWAYS examine a child for signs of torsion who presents with abdominal pain (especially lower abdominal pain)
* Look for tenderness,...
Published 04/16/24
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