|
|
| (14 intermediate revisions by 4 users not shown) |
| Line 1: |
Line 1: |
| {{DX tag | Cardiovascular | [[:Category: Medical Problem | Medical Problem]] | '''Eclampsia''' | ECLAMPSIA (see 876 or 878 for post OP) | [[12600 - Eclampsia]] | No | 0 | CC & Med | Current | | }}''Notes: '' | | {{DX tag | Cardiovascular Problems | Medical Problem| '''[[Peripartum Problems]]''' | Eclampsia | 87604 | No | 0 | CC & Med | Current | | }} |
| *To differentiate '''[http://en.wikipedia.org/wiki/Eclampsia Eclampsia]''' from [http://en.wikipedia.org/wiki/Pre-eclampsia Pre-eclampsia]: the pt must have had a seizure to have eclampsia.
| |
| *[http://en.wikipedia.org/wiki/Eclampsia Eclampsia] refers to seizures in pregnancy that are not related to a pre-existing brain condition.
| |
|
| |
|
| NOTE:
| | {{DX tag | Cardiovascular Problems | Medical Problem| '''[[Postpartum problems other]]''' | Eclampsia | 87803 | No | 0 | CC & Med | Current | | }} |
| | |
| | |
| | Eclampsia [http://en.wikipedia.org/wiki/Eclampsia Eclampsia] refers to seizures in pregnancy that are not related to a pre-existing brain condition. |
| | |
| | == Not pre-eclampsia == |
| *[http://en.wikipedia.org/wiki/Pre-eclampsia Pre-eclampsia] is a medical condition in which hypertension arises in pregnancy (pregnancy-induced hypertension) in association with significant amounts of protein in the urine. | | *[http://en.wikipedia.org/wiki/Pre-eclampsia Pre-eclampsia] is a medical condition in which hypertension arises in pregnancy (pregnancy-induced hypertension) in association with significant amounts of protein in the urine. |
| * it refers to a set of symptoms rather than any causative factor, and there are many different causes for the condition. It appears likely that there are substances from the placenta that can cause endothelial dysfunction in the maternal blood vessels of susceptible women.[1] While blood pressure elevation is the most visible sign of the disease, it involves generalized damage to the maternal endothelium, kidneys, and liver, with the release of vasoconstrictive factors being secondary to the original damage.
| |
|
| |
|
| === Multpile codes ===
| | *'''To differentiate '''[http://en.wikipedia.org/wiki/Eclampsia Eclampsia]''' from [http://en.wikipedia.org/wiki/Pre-eclampsia Pre-eclampsia]: the pt must have had a seizure to have eclampsia.''' |
| {{discussion}}
| | |
| * I have been reviewing the diagnostic codes lately and the eclampsia code seems to be all over the place. Eclampsia is listed 3 times in our diagnostic codes (126, 876 and 878). Because the definition is basically seizures I am not sure why it is listed in the cardiovascular codes. Pre-eclampsia could be put in the cardiovascular codes because it presents mostly as hypertension. However, we don't even have a pre-eclampsia code. Pre-eclampsia is much more common than eclampsia. I think you could put both in the "other medical section" which includes peri partum and post partum problems and this would be sufficient. I would take eclampsia out of the cardiovascular section altogether. What does everyone think?--[[User:LKolesar|LKolesar]] 10:38, 2014 July 18 (CDT) | | * it refers to a set of symptoms rather than any causative factor, and there are many different causes for the condition. It appears likely that there are substances from the placenta that can cause endothelial dysfunction in the maternal blood vessels of susceptible women. While blood pressure elevation is the most visible sign of the disease, it involves generalized damage to the maternal endothelium, kidneys, and liver, with the release of vasoconstrictive factors being secondary to the original damage. |
| ** Some of this was also mentioned in [[Organizational Suggestions]] several years ago. I think we were hoping for the new dx codes to come much sooner, which will take car of this. Thanks for pointing out that several places exist for this, I am updating the wiki to make sure they are all there; some of the sub-codes were not part of the original import into the wiki and we are still finding them occasionally and fixing them. So, added the codes to [[Peripartum Problems]] and [[Postpartum problems other]]. That doesn't answer your concerns, just getting some ducks in a row in case we decide to change categorization. From the programming/data side it would not be hard to change the categorization. - Ttenbergen 10:02, 2014 July 21 (CDT) | | |
| | == Multiple codes == |
| | It might not be necessary to have two codes for this, but we decided to leave them alone until ICD10 arrives. |
| | |
| | [[Category:Pregnancy complications (old)]] |