SAQ 930 – O+G – severe pre-eclampsia, eclampsia and ED priorities

A 42-year-old woman who is 32 weeks pregnant presents to your urban district ED. She has increasing ankle oedema, blurred vision, a mild headache and non-specific upper abdominal pain, without vaginal bleeding or fluid loss.

She is conscious and alert.

Observation	Value
RR	18/min
HR	120/min
BP	170/115 mmHg
SpO2	99% room air

List four differential diagnoses.

(Marked out of 4.0)

/ 4

List four potential complications of this condition.

(Marked out of 4.0)

/ 4

List five important ED investigations and give your reasoning.

(Marked out of 10.0)
</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;">Investigation</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Reasoning</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Investigation 1</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;">Investigation 2</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;">Investigation 3</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;">Investigation 4</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;">Investigation 5</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 10

She has a generalised seizure lasting 5 minutes that stops spontaneously. She has been moved to resuscitation and has IV access, IV fluids and oxygen running. What are your four next most important actions?

(Marked out of 8.0)

/ 8

Total Score: 0 / 26

Percentage: 0%