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
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 Example 24 hours ambulatory blood pressure monitoring Tightly controlling Blood pressure Tightly controlling Blood pressure
Prognosis Increased risk of cardiovascular complications Increased risk of preeclampsia Example Good prognosis,may 1/4 progress to preeclampsia may progress to eclampsia or HELLP syndrome

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