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Preeclampsia-eclampsia
Gestational Hypertension:
Systolic >140
Diastolic>90
No Proteinurea
25% Develop Pre-eclampsia
Gestational Hypertension
Diagnosis of gestational hypertension:
Detected for first time after midpregnancy
No proteinuria
Only until a more specific diagnosis can be assigned
postpartum
Blood Pressure
Proteinurea
Retinal vasospasm or Retinal edema
Right upper quadrant (RUQ) abdominal
tenderness stems from liver swelling and
capsular stretch
Physical findings in Preeclampsia
Brisk, or hyperactive, reflexes are common
during pregnancy, but clonus is a sign of
neuromuscular irritability that raises concern.
Among pregnant women, 30% have some
lower extremity edema as part of their normal
pregnancy. However, a sudden change in
dependent edema, edema in nondependent areas
such as the face and hands, or rapid weight gain
suggests a pathologic process and warrants
further evaluation
Differential Diagnosis
Documentation of HBP before conception
or before gestational week 20 favors a
diagnosis of chronic hypertension
(essential or secondary).