My reasoning: We know she has preeclampsia, so what other information might be helpful?
- platelets could evaluate for HELLP and AFLP
- everything else has no indication. US pelvis is a weaker choice given patient has no documented signs of abruption (pelvic pain, vaginal bleeding, FHR abnormalities)
Patient with signs of pre-eclampsia (hypertension and proteinuria) who should have delivery of the baby (because patient at 37 weeksโ gestation) and work-up for other end-organ complications associated with severe pre-eclampsia (platelet count, BUN/creatinine, etc.)
Pre-eclampsia (uncomplicated โ> delivery at 37 weeks) = New-onset elevated blood pressure at >20 weeks gestation AND Proteinuria (Urine protein:creatinine ratio > 0.3 or 24-hour urine collection > 300 mg) or signs of end-organ damage
Features that point to severe pre-eclampsia requiring delivery at 34 weeks: BP > 160/110, thrombocytopenia, pulmonary edema, visual/cerebral symptoms, increased creatinine, increased LFTs
submitted by โthomasalterman(181)
My reasoning: We know she has preeclampsia, so what other information might be helpful? - platelets could evaluate for HELLP and AFLP - everything else has no indication. US pelvis is a weaker choice given patient has no documented signs of abruption (pelvic pain, vaginal bleeding, FHR abnormalities)