Preeclampsia, la última revisión en The Lancet (2026). Puntos importantes:
🔴 La proteinuria dejó de ser obligatoria para el diagnóstico. Preeclampsia = hipertensión después de las 20 SDG + disfunción de órgano blanco (neurológica, renal, hepática, hematológica) o uteroplacentaria.
🔴 Olviden la hipertensión permisiva: trata toda hipertensión del embarazo, meta <140/90 (diastólica 85), CHIPS y CHAP Trial. Labetalol, nifedipino o metildopa. IECA/ARA contraindicados por fetotoxicidad.
🔴Prevención con Aspirina 150 mg por la noche, antes de las 16 SDG, y se suspende a las 36. El calcio ya no se recomienda.
🔴 El único tratamiento sigue siendo el parto. El sulfato de magnesio no es profilaxis universal — es para preeclampsia con datos de gravedad y eclampsia.
🔴 En el puerperio, la presión arterial alcanza su pico los días 3 a 6 (monitorea en casa). Asociado a más: hipertensión, enfermedad renal crónica, diabetes, riesgo cardiovascular. Revisión médica anual recomendada.
Ya actualizamos las apps.
@lamitron_@mhudack Does it matter whether it jumps up or goes up incrementally? The fact that higher interest is charged because you're earning well is absurd. With any other legitimate loan on the planet, the interest rate drops as income increases: risk is lower. This is the UK punishing success.
Another bullshitty use of AI to generate an "infection risk score" that just means a doctor should look at the patient like they should be doing anyway.
Nothing but an excuse to hand millions in public cash to big tech firms and call it 'NHS spending'
@Anisocyte If this goes through, the international recognition of a UK CCT might be in jeapordy.
So UK docs trapped in the NHS, unable to take their skills and expertise elsewhere, propping up a health service run by PAs. Sounds great.
@TD_Canada still on the phone, at 1hr 20mins and now your agent is trying to sell me identity theft protection. All I want to do is update my address. Does your customers' time mean nothing to you?
Hi @TD_Canada, does it always take >1hr on the phone to update address for car/home insurance? I didn't need to wait on hold and the woman is very helpful, but if this is how your business processes work this is poor. Also, the app doesn't let you change the address to be insured
@MiguelP23970914@UesugiT1@AirwayMxAcademy I would argue that an anesthesiologist who is not trained in eFONA is not adequately trained to manage airways.
The "surprise failed intubation" can happen. It is negligent to be inducing anaesthesia without any skills to deal with a can't intubate/can't oxygenate scenario.
At tonight’s “consultation”…
When a high school kid tried to raise concerns about the teachers strike, Bruce McAllister cut the kids mic and then suggested his parents should have beaten him more.
Listen to the clip yourself…
It’s…
Telling.
#abpoli#ableg#cdnpoli