Pre-eclampsia differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2]
Differentiating Pre-eclampsia from other Diseases
Differntiating diagnosis of hypertension in pregnancy | Chronic hypertension | White coat hypertension | Mask hypertension | Gestational hypertension | Preeclampsia |
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Onset | Before 20 weeks in pregnancy | Blood pressure ≥ 140/90 in office and clinic and BP < 135/85 at home | Normal blood pressure at office and elevation in other condition | Hypertension after 20 weeks of pregnancy with out proteinuria or hematologic abnormality | Hypertension after 20 weeks of pregnancy with proteinuria or maternal organ dysfunction |
Management | Tightly controlling of hypertension (110-140/85), Fetal growth monitoring | Blood pressure monitoring | 24 hours ambulatory blood pressure monitoring | Tightly controlling Blood pressure | Tightly controlling Blood pressure |
Prognosis | Increased risk of cardiovascular complications | Increased risk of preeclampsia and cardiovascular complications | Increased risk of preeclampsia | Good prognosis,may 1/4 progress to preeclampsia | may progress to eclampsia or HELLP syndrome |