491,747 views
43 votes
43 votes
29-year-old g2 p1001 in her third trimester presents to the clinic for a routine check up. you take her vitals and note that her blood pressure is elevated to 150/95. on interview, she complains about some mild ruq pain that she has had for the last few days. you confirm this on physical exam and also take note of facial puffiness. a urine dipstick in the office shows 3 proteinuria. what are the laboratory features of the particular syndrome this patient has likely developed?

User Abdullah Saeed
by
3.1k points

1 Answer

11 votes
11 votes

It sounds like the patient may have developed gestational hypertension, also known as pregnancy-induced hypertension (PIH). This is a condition in which a woman develops high blood pressure during pregnancy. It is often accompanied by proteinuria, or the presence of protein in the urine, and edema, or swelling, which can cause facial puffiness. Other laboratory features that may be present in a patient with gestational hypertension include an elevated white blood cell count, which can indicate inflammation or infection, and an elevated creatinine level, which can indicate kidney dysfunction. It is important for the healthcare provider to closely monitor the patient's blood pressure and other laboratory values to ensure the well-being of both the mother and the baby.

User Scott Lance
by
2.8k points