Red flags in pregnancyDownloads

A 25-year-old pregnant woman at 28 weeks gestation presents with a headache. Her pregnancy has been managed by a nurse practitioner. Her temperature is 99.0°F (37.2°C), blood pressure is 164/104 mmHg, pulse is 100/min, respirations are 22/min, and oxygen saturation is 98% on room air. Physical exam is notable for a comfortable appearing woman with a gravid uterus. Laboratory tests are ordered as seen below. Hemoglobin: 12 g/dL Hematocrit: 36% Leukocyte count: 6,700/mm^3 with normal differential Platelet count: 100,500/mm^3 Serum: Na+: 141 mEq/L Cl-: 101 mEq/L K+: 4.4 mEq/L HCO3-: 25 mEq/L BUN: 21 mg/dL Glucose: 99 mg/dL Creatinine: 1.0 mg/dL AST: 32 U/L ALT: 30 U/L Urine: Color: Amber Protein: Positive Blood: Negative Which of the following is the most likely diagnosis?

A 25-year-old primigravida woman at 35 weeks estimated gestational age presents with a headache for the past 5 hours. She describes the headache as severe and incapacitating and showing no response to acetaminophen. In the emergency department, her blood pressure is found to be 150/100 mm Hg, pulse is 88/min, respiratory rate is 30/min, and temperature is 37.0°C (98.6°F). Her records show that her blood pressure was the same yesterday during her regular antenatal visit. Chest auscultation reveals bilateral crackles along the lung base. Abdominal examination reveals a gravid uterus consistent with a gestational age of 32 weeks and a floating fetus in a cephalic presentation. Pelvic examination is performed which shows a closed firm cervix with no evidence of bleeding or discharge. Moderate pitting edema is noted and neurologic examination shows generalized hyperreflexia. Laboratory findings are significant for the following: Hemoglobin 12.5 g/dL Platelets 185,000/μL Serum creatinine 0.4 mg/dL Spot urine creatinine 110 mg/dL Spot urine protein 360 mg/dL AST 40 IU/L Which of the following is the most likely diagnosis in this patient?