PREECLAMPSIA

A   21-year-old primigravida    without severe  features    is  seen    in  the outpatient

prenatal    clinic  for routine visit.  She is  at  32  weeks’  gestation,  confirmed   by

first   trimester   sonogram.   She denies  headache,   epigastric  pain,   or  visual

disturbances.   She has gained  10  pounds  since   her last    visit   two weeks   ago.

On  examination her BP  is  155/95  mm  Hg  and it  remains unchanged   on

repeat  check   in  15  min.    She has 2+  pedal   edema,  and her fingers appear

swollen.    A   spot    urine   dipstick    shows   2+  protein.