system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 37-year-old woman, gravida 3, para 2, at 32 weeks' gestation comes to the physician for a follow-up examination 2 days after an increased blood pressure measurement. She now reports having a headache and visual disturbances for the past 12 hours. Her only medication is a prenatal vitamin. Her temperature is 36.7°C (98.1°F), pulse is 90/min, and blood pressure is 164/80 mm Hg. Her blood pressure at her first-trimester prenatal visit was 110/70 mm Hg. Physical examination shows no abnormalities. Laboratory studies show:
Hemoglobin 12.5 g/dL
Platelet count 285,000/mm3
Serum
Creatinine 1.0 mg/dL
Urine
Blood negative
Protein negative
Which of the following is the most likely primary component in the pathogenesis of this patient's condition?"
assistant
Abnormal remodeling of spiral arteries