Preeclampsia: For the diagnosis of preeclampsia, both hypertension and proteinuria must be present.
- Blood pressure: 140 mm Hg or higher systolic or 90 mm Hg or higher diastolic after 20 weeks of gestation in a woman with previously normal blood pressure. Systolic increased > 30 mm Hg or diastolic increased > 15 mm Hg in a patient with preexisting chronic hypertension.
- Proteinuria: 0.3 g or more of protein in a 24-hour urine collection (usually corresponds with 1+ or greater on a urine dipstick test) Continue reading
o Steroidogenic enzyme deficiencies
§ Congenital adrenal hyperplasia
§ Aromatase deficiency
o Androgen-secreting tumors
o Exogenous androgens
§ Anabolic steroids
§ Transsexual hormone replacement
§ Idiopathic hirsutism
The diagnosis of HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count) is based upon the presence of the characteristic laboratory findings in patients of appropriate gestational age. Imaging tests, particularly CT or MRI scanning, are useful when complications such as hepatic infarction, hematoma, or rupture are suspected.
Screening for gestational diabetes mellitus
- 50-g oral glucose load, administered between the 24th and 28th weeks, without regard to time of day or time of last meal. Universal blood glucose screening is indicated for patients who are of Hispanic, African, Native American, South or East Asian, Pacific Island, or Indigenous Australian ancestry. Other patients who have no known diabetes in first-degree relatives, are under 25 years of age, have normal weight before pregnancy, and have no history of abnormal glucose metabolism or poor obstetric outcome do not require routine screening.
- Venous plasma glucose measure 1 hour later.
- Value of 130 mg/dL (7.2 mmol/L) or above in venous plasma indicates the need for a full diagnostic glucose tolerance test. Continue reading
The BIRADS acronym stands for Breast Imaging-Reporting and Data System which is a widely accepted risk assessment and quality assurance tool in mammography, ultrasound or MRI.
Specimen Type: Indicate conventional smear (Pap smear) vs. liquid based vs. other
- Satisfactory for evaluation (describe presence or absence of endocervical/transformation zone component and any other quality indicators, e.g., partially obscuring blood, inflammation, etc.)
- Unsatisfactory for evaluation … (specify reason)
*Specimen rejected/not processed (specify reason)
*Specimen processed and examined, but unsatisfactory for evaluation of epithelial abnormality because of (specify reason)