A pregnant women with BP 150/100 mmHg, proteinuria after 20 weeks. Diagnosis?: (A) Pre-eclampsia, (B) Pregnancy induced hypertension, (C) Renal hypertension, (D) Eclampsia
Answer is A. Ans. (a) Pre-eclampsiaRef. William's Obstetrics 23rd ed. Ch 34.GESTATIONAL HYPERTENSION CRITERIA* Systolic BP>140 or diastolic BP > 90 mm Hg for first time during pregnancy* No proteinuria* BP returns to normal before 12 weeks postpartum* Final diagnosis made only postpartum* May have other signs or symptoms of preeclampsia, for example, epigastric discomfort or thrombocytopenia.PRE-ECLAMPSIA* BP > 140/90 mm Hg after 20 weeks' gestation* Proteinuria >300 mg/24 hours or > 1+ dipstickEclampsia: symptoms of pre-eclampsia + seizures that cannot be attributed to other causes in a woman with preeclampsia.