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SEMINAR 3 :   PREGNANCY INDUCED HYPERTENSION AND OBSTETRICAL HEMORRHAGE
A.  A1.  A2.  A3.  A4.  B.  B1.  B2. 

Case History- Hypertension : Making the Diagnosis

PIH is defined as a systolic blood pressure of at least 140 mm Hg or a diastolic pressure of at least 90 mm Hg on two occasions taken several hours apart. Preeclampsia is defined as the presence of hypertension with proteinuria or pathologic edema, or both occurring after 20 weeks of gestation. Preeclampsia is defined as mild unless one or more of the signs or symptoms noted in the following table are found:


SIGNS AND SYMPTOMS OF MILD AND SEVERE
PREGNANCY INDUCED HYPERTENSION
Abnormality Mild Severe
Systolic Blood pressure (mmHg) 140-160 > 160
Diastolic Blood pressure (mmHg) 90-110 > 110
Proteinuria/24 hour > 300 mg > 5g
Dipsitck proteinuria Trace to 1+ > 2+
Serum creatinine Normal Elevated
Oliguria Absent Present
Seizures Absent Present
Pulmonary edema Absent Present
Headache Absent Present
Visual disturbances Absent Present
Upper abdominal pain Absent Present
Liver enzymes (ALT, ADT) Absent Present
Fetal growth Normal Retarded

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