Gestational hypertension
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Gestational hypertension
Reproductive system and breast
Disorders of puberty, sex chromosomes, and sex hormones
Female and transgender reproductive system and breast
Breast cancer
Fibrocystic breast changes
Intraductal papilloma
Mastitis
Paget disease of the breast
Phyllodes tumor
Turner syndrome
Endometritis
Pelvic inflammatory disease
Urethritis
Amenorrhea
Endometriosis
Polycystic ovary syndrome
Premature ovarian failure
Cervical cancer
Choriocarcinoma
Endometrial cancer
Endometrial hyperplasia
Germ cell ovarian tumor
Gestational trophoblastic disease
Krukenberg tumor
Ovarian cyst
Ovarian torsion
Sex cord-gonadal stromal tumor
Surface epithelial-stromal tumor
Uterine fibroid
Female sexual interest and arousal disorder
Genito-pelvic pain and penetration disorder
Orgasmic dysfunction
Male and transgender reproductive system
Pregnancy, childbirth, and the puerperium
Cervical incompetence
Chorioamnionitis
Ectopic pregnancy
Gestational diabetes
Gestational hypertension
Hyperemesis gravidarum
Intrauterine growth restriction
Miscarriage
Oligohydramnios
Placenta accreta
Placenta previa
Placental abruption
Polyhydramnios
Potter sequence
Preeclampsia & eclampsia
Preterm labor
Postpartum hemorrhage
Congenital cytomegalovirus (NORD)
Congenital rubella syndrome
Congenital syphilis
Congenital toxoplasmosis
Neonatal conjunctivitis
Neonatal herpes simplex
Neonatal meningitis
Neonatal sepsis
Fetal alcohol syndrome
Fetal hydantoin syndrome
Reproductive system and breast pathology review
Benign breast conditions: Pathology review
Breast cancer: Pathology review
Amenorrhea: Pathology review
Cervical cancer: Pathology review
Ovarian cysts and tumors: Pathology review
Sexually transmitted infections: Vaginitis and cervicitis: Pathology review
Uterine disorders: Pathology review
Vaginal and vulvar disorders: Pathology review
Disorders of sex chromosomes: Pathology review
Disorders of sexual development and sex hormones: Pathology review
Sexually transmitted infections: Warts and ulcers: Pathology review
Penile conditions: Pathology review
Prostate disorders and cancer: Pathology review
Testicular and scrotal conditions: Pathology review
Testicular tumors: Pathology review
Complications during pregnancy: Pathology review
Congenital TORCH infections: Pathology review
Assessments
Flashcards
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USMLE® Step 1 questions
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CME Credits
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High Yield Notes
17 pages



Flashcards
Gestational hypertension
0 of 15 complete
Questions
USMLE® Step 1 style questions USMLE
0 of 1 complete
A 20-year-old woman, gravida 1 para 0 comes to the clinic at 22 weeks of gestation for a follow-up appointment after she had an elevated blood pressure of 145/95 in the previous appointment. The pregnancy has been uneventful so far, and she has been taking prenatal vitamins daily. Medical history is unremarkable. She has not had any headaches, visual disturbances or urinary symptoms. She does not smoke cigarettes, drink alcohol or use illicit drugs. Repeated blood measurements at home are 147/92 and 146/93. The patient’s current temperature is 37.0°C (98.6°F), pulse is 100/min, and blood pressure is 144/93 mmHg. On physical examination, cardiovascular and lung examination are unremarkable. Uterus size is consistent with 22 weeks, and fetal vital signs on nonstress test are reassuring. Urinary protein excretion on 24-hour urine is minimal, and serum creatinine concentration is 1.1 mg/dL. Which of the following is the most likely diagnosis?
External References
First Aid
2024
2023
2022
2021
α-methyldopa p. 242
gestational hypertension p. 660
Gestational hypertension p. 660
Hydralazine p. 323
gestational hypertension p. 322, 660
Labetalol p. 244
gestational hypertension p. 660
Summary
Gestational hypertension, also known as pregnancy-induced hypertension, is the new onset of high blood pressure in pregnancy after 20 weeks of gestation, not associated with the presence of proteins in the urine or other signs of preeclampsia. Gestational hypertension can lead to serious problems for the mother and the baby.