Hypertension

Question 1

Gestational HTN definition

Answer 1

BP elevated after 20 weeks of gestation in the absence of proteinuria or systemic findings that would indicate pre-eclampsia

Question 2

Pre-eclampsia definition

Answer 2

HTN (>/=140/90 on two occasions at least 4 hours apart after 20 weeks gestation in a woman with previously normal BP)

AND

proteinuria (>/=300 mg per 24 hrs) OR P:C >0.3 or dipstick 1+
OR
associated with thrombocytopenia (<100), impaired liver function (LFTs 2x normal), new development of renal insufficiency (Cr >1.1), pulmonary edema, or the new onset of cerebral or visual disturbances

Question 3

Chronic HTN definition

Answer 3

HTN that predates pregnancy

Question 4

Superimposed pre-eclampsia

Answer 4

Chronic HTN in association with pre-eclampsia

Question 5

Proetinuria

Answer 5

300 mg or more protein over a 24 hour urine collection

P:C of at least 0.3

Question 6

Severe features of pre-eclampsia

Answer 6

Systolic BP >/=160, or diastolic BP >/=110 on two occasions at least 4 hours apart while the patient is on bed rest (with no anti-hypertensives)
Thrombocytopenia (<100)
Impaired liver function (liver functions 2x normal), RUQ pain or epigastric pain unresponsive to medication
Progressive renal insufficiency (Cr >1.1)
Pulmonary edema
New onset cerebral or visual disturbances

Question 7

Do you need to have proteinuria to be diagnosed with pre-eclampsia?

Answer 7

NOOOOOOOO. NO. NO.