Snapshot A 36-year-old woman at 34 weeks gestation presents to the emergency room for abdominal pain and headaches. She reports noticing these symptoms last night but attributed it to eating some take-out last night. On physical exam, she has tenderness to palpation in the epigastrium. Her blood pressure is 166/115 mmHg. She begins having tonic-clonic seizures. She is immediately prepped for delivery via cesarean section and started on anti-seizure medications. (Eclampsia) Introduction Overview login to view 2 more bullets Diagnosis of preeclampsia login to view 8 more bullets Spectrum of Hypertensive Disorders in Pregnancy Chronic Hypertension Gestational Hypertension Preeclampsia Eclampsia HELLP Syndrome History of hypertension(> 140/90 mmgHg) before pregnancy or before 20 weeks of gestation Hypertension persists after delivery Hypertension after 20 weeks of gestation Hypertension returns to baseline by 6 weeks post-partum Common in multiple gestations Hypertension (> 140/90 mmHg on 2 separate occasions, or >160/110 mmHg) plus proteinuria Preeclampsia plus seizures Hemolysis Elevated Liver enzymes Low Platelets Epidemiology login to view 17 more bullets Pathogenesis login to view 9 more bullets Prognosis login to view 5 more bullets Presentation Symptoms login to view 8 more bullets Physical exam login to view 7 more bullets Studies Serum labs login to view 13 more bullets Differential Acute fatty liver of pregnancy login to view 2 more bullets Treatment Medical login to view 21 more bullets Surgical login to view 5 more bullets Complications Complications login to view 20 more bullets