Case 37 Introduction

History of Present Illness (HPI)

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A 30 year-old G1P0 woman at 28 weeks gestation is seen in the Emergency Department after being noted to have a blood pressure of 170/100 at a routine clinic visit. She does not have a history of high blood pressure prior to pregnancy and has no known history of kidney disease.

She was started on labetalol for blood pressure control at 24 weeks gestation. Despite medication adherence, her systolic blood pressure has been between 130-150 mmHg.  Laboratory evaluation at that time was unremarkable.

She complains of a mild headache and some shortness of breath. She does not have blurry vision, nausea, vomiting, chest pain, abdominal pain, diarrhea, dysuria, or vaginal bleeding.

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