Preeclampsia

Do you really think that in the exam they provide you with a case with a pregnant woman with high blood pressure, edema and proteinuria who does not have any other problem and they want you to pick the answer, and you will happily choose Preeclampsia?
I wish the exam was like this ;)

The main point in Preeclampsia questions is to differentiate Mild Preeclapsia and Severe Preeclampsia from each other as the management is different.
This sentence is not correct but let me say it, I think in the exam it is more important to different Mild and Sever Preeclampsia form each other than differentiating Severe Preeclampsia from Eclampsia.

Criteria to diagnose Mild Preeclampsia are:
- Blood pressure of higher or equal of 140/90
- Proteinuria less than 3 gr. (and ofcourse more than 300 mg.)

Criteria to diagnose sever Preeclampsia are:

- Blood Pressure higher or equal to 190/110
- Proteinuria more than 3 gr.
- Having any of the following symptoms:
- Oligurea
- Blured Vision
- Epigastric pain

The most important complication of Preeclampsia is Eclampsia, due to cerebral vasospasm and resultant cerebral hypoxemia.

Treatment of Preeclampsia:
In Patient with Mild Preeclampsia:
The point here is to take care of the patient until she gets to 36 week of pregnancy and it would be safe to deliver at that time. So if the patient gestational age is less than 36 weeks, you need to be conservative and if it is more than 36 you need to be aggressive.
Seizure prophylaxis is performed during labor, delivery and within 24 hrs after delivery

In Patient with Severe Preeclampsia:The point here is that you need to be always aggressive. There is no room to waste the time, mom is in danger so rush and be aggressive.