|
|
We do need
two
classifications.
Α classification which is simple to establish by
anybody taking care of pregnant patients, a sensible,
symptomatic
classificationand Α classification which is based οπ
the causes of ΕΡΗ
-Gestosis. a pathogenetic classification |
|
|
|
Α.Symptomatic
classification.
We hardly ever know in a patient first hand which of
the many possible causes is indicated by her ΕΡΗ
-Gestosis. We just know the cardinal signs and
symptoms. So we have to build a first clinical
classification from the data available and those are
pathological Edema, ( Ε ), pathological Proteinuria (
Ρ ) and Hypertension ( Η ) (see
Link 9b, 10, 12 )
Furthermore Ε ΡΗ -Gestosis being the syndrome of the
neglected woman this clinical classification has to be
as simple as possible so that it can be applied at
grass root Ievel, by anybody taking care of a pregnant
woman So the OG suggests the
following symptomatic classification. |
|
|
|
|
1.
SYMPTOMATIC CLASSIFICATION: ΑLL
CASES |
- |
|
1.1.
Monosymptomatic
EPH-Gestosis (EPH-Complex, EPH-Syndrome) |
| |
|
1.1.1.
Ε = Edema |
| |
|
1.1.2.
Ρ = Proteinuria |
| |
|
1.1.3.
Η -
Hypertension |
| |
|
1.2.
Ροlysymptomatic
EPH- Gestosis
(EPH-Comp1ex, EPH-Syndrome)
Combination of 2 οr
all 3 symptoms |
| |
|
1.2.1.
EP |
Pick up |
|
1.2.2.
EH |
100% |
|
1.2.3.
PH |
| |
|
1.2.4.
EPH |
| |
|
1.3.
Imminent
(impending) eclampsia ΕΙ Objective + subjetive
symptoms* |
| |
1.4.
Eclampsia
EC
*Objective + subjective
symptoms of imminent (impending) eclampsia
ΕΙ:
Objective: Hyperreflexia
Motoric exitation Ιmpared
consciousness Sudden
deterioration (also cyanosis)
Subjective: Headaches
Visual disturbances Acute symptoms of the upper
abdomen |
- |
|
|
|
We first describe the clincal picture and label the patient as
possibly high risk pregnancy. Νο hint οπ cause (causes), prognostics,
therapeutic measures, pathogenetics given. |
|
|
|
|
[download pdf - file, 58 Kb.]
|
|
|
|
