Gestational hypertension

Summary of Gestational hypertension
Gestational hypertension, or pregnancy-induced hypertension, is the development of new hypertension in a pregnant woman after 20 weeks gestation without the presence of protein in the urine or other signs of preeclampsia. Hypertension is defined as having a blood pressure greater than 140/90 mm Hg.

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Pathology

Reproductive system

Male and female reproductive system disorders
Male reproductive system disorders
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Reproductive system pathology review

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Gestational hypertension

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High Yield Notes
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Gestational hypertension

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Treatment of gestational hypertension includes antihypertensives such as , alpha-methyldopa, labetalol, or nifedipine.

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A 25-year-old woman, gravida 2, para 1, at 22-weeks gestation comes to the clinic for a routine obstetrics evaluation. She has no complaints today as her morning nausea and vomiting have resolved. She denies headaches, blurry vision, and dizziness. Medical history is noncontributory and the only medication she takes is a prenatal vitamin. Her temperature is 37.0°C (98.6°F), pulse is 76/min, respirations are 12/min, and blood pressure is 150/90 mm Hg. Physical examination shows only mild pitting edema in her lower extremities and an unremarkable neurological examination. The patient is allowed to sit quietly for twenty minutes, and repeat blood measurement is 145/85 mmHg. Urinalysis is negative for the presence of protein, casts, or blood. Which of the following is the most likely diagnosis?     

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