SAQ 987 – Severe hypertension and jaundice at 36 weeks gestation

A 26-year-old primigravida at 36 weeks gestation presents with jaundice, blurred vision and hypertension of 180/100 mmHg.

The antenatal period was otherwise unremarkable. Her blood results are shown below.

Test	Result	Reference range
Hb	80 g/L	115-160
Platelets	52 x 10^9/L	140-400
INR	1.8	0.9-1.3
APTT	55 seconds	25-38
LDH	654 U/L	110-250
Fibrinogen	1.0 g/L	1.5-4.0
Total bilirubin	51 micromol/L	<20

List the four most likely diagnoses for this clinical presentation.

(Marked out of 4.0)

/ 4

Outline four priorities in your management.

(Marked out of 4.0)

/ 4

She starts to have a generalised seizure. List two medications, including doses, that you might administer.

(Marked out of 2.0)

/ 2

List CTG findings that indicate fetal distress.

(Marked out of 4.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">CTG feature</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Non-reassuring or abnormal values</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Baseline rate</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Decelerations</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

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Total Score: 0 / 14

Percentage: 0%