See also: Eclampsia
See also: Hypertension in pregnancy
See also: Chronic hypertension in pregnancy
Mild preeclampsia, defined after the 20th week of pregnancy by
BP greater than 140/90
Proteinuria greater then 0.3g/24hr
Dependent and non-dependent edema is often seen, though not necessary for diagnosis and common in pregnancy
Severe preeclampsia, defined by
BP greater than 160/110
Proteinuria greater than 5g/24h
Oliguria
Pulmonary edema
Elevated liver enzymes
Thrombocytopenia
Possibly pulmonary edema
Complications
Liver involvement
Centrilobular necrosis of liver
Hematoma formation
Formation of thrombi in the portal capillary system
Sx
RUQ pain due to swelling of liver
Tx
Methyldopa
Monitoring
Bed rest