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Cyberschool Creators: Kevin Baumlin, MD and Michael Bessete, MD
Module Author: Ed Mintz, MD
Web Author: Judah Fierstein and Marcy Wang
| A 23-year old primagravida woman in her 34th week of pregnancy is brought to the emergency room by her husband after two witnessed seizures. She is presently awake and alert. The patient denies a prior history of seizures and does not recall the events surrounding these seizures. On exam she appears comfortable. Her blood pressure and pulse are 150/110 and 92, respectively. She denies abdominal pain, vaginal bleeding, or uterine contractions. While you are assessing her the patient has another seizure. |
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1. |
What is the most likely diagnosis? |
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2. |
What is your initial management? |
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3. |
What are the signs and symptoms associated with preeclampsia and eclampsia? What conditions might mimic these presentations? |
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4. |
Upon arrival in the emergency department "admission labs" are sent. Of note the patient's platelet count is 90,000. AST=375; ALT=325; T. Bili=2.8. Does this change your management or the prognosis? |
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5. |
Discuss the steps one can take to prevent hypertension and preeclampsia in pregnancy? |
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