Eclampsia: Difference between revisions

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*[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.

**Question: 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)

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 *[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.
+**Question:  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)