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Epigastric pain in preeclampsia a dangerous sign: evaluate immediately.(Obstetrics)
ATLANTA -- A woman with preeclampsia who suddenly develops epigastric pain must be evaluated immediately, because this portends the imminent development of seizures, Dr. Jeffrey H. Korotkin said at a conference on high-risk obstetrics sponsored by Symposia Medicus.
Eclampsia can develop very quickly, "so don't tell her to wait until morning to come in," he said.
Her liver also may rupture because of swelling of the Glisson capsule. "I saw that on one occasion, and I don't ever want to see it again," he said.
This pain is distinct from indigestion, so ask if the belly pain is different from what she has had throughout the pregnancy, said Dr. Korotkin, a perinatal consultant in Atlanta.
Potentially dangerous abnormalities also can develop in other systems in preeclampsia. In a normal pregnancy, the glomerular filtration rate and renal blood flow increase while the serum creatinine decreases. But in preeclampsia, with the ...
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- News wire article from: AScribe Health News Service June 17, 2005 700+ words
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