hypertension in pregnancy

Question 1

definition hypertension in pregnancy

Answer 1

> /= 140/90 on 2 occasions, 6 hours apart

normal bp gets higher in older women

distinguish hypertension in early pregnancy and pregnancy induced hypertension

Question 2

classifications

Answer 2

chronic hypertension

chronic hypertension with superimposed preeclampsia

gestational hypertension/ pregnancy induced hypertension/ preeclampsia

Question 3

investigating hypertension in pregnancy

Answer 3

consider secondary hypertension bc another condition eg tumour secreting hormones (phaeochromocytoma, cushing’s, conns’) underlying kidney disease (renal artery stenosis, chronic pyelonephritis, glomerulonephritis), collagen vascular disorders (diabetes, SLE etc)

SO
careful history and physical exam

serum creatinine, urea and electrolytes

urine microscopy