A 31-year-old woman at 26 weeks of gestation attends the GP with bilateral lower limb oedema, blood pressure 152/98 mmHg, and 2+ proteinuria on dipsti...

Question

A 31-year-old woman at 26 weeks of gestation attends the GP with bilateral lower limb oedema, blood pressure 152/98 mmHg, and 2+ proteinuria on dipstick. She has a headache and brisk reflexes. Bloods show: platelets 142 × 10⁹/L, ALT 48 U/L, creatinine 88 µmol/L. Urine protein:creatinine ratio is 45 mg/mmol. What is the most likely diagnosis?

Accepted Answer

Pre-eclampsia

Answer

Gestational hypertension

Answer

Chronic hypertension

Answer

Essential hypertension with coincidental proteinuria

Answer

Nephrotic syndrome

uk-drcog MCQ (SBA): Pre-eclampsia Diagnosis