a 21-year-old pregnant woman with hypertension and proteinuria一个21岁的孕妇高血压和蛋白尿.pdfVIP

Learning Forum A 21-Year-Old Pregnant Woman with Hypertension and Proteinuria Andrea Luk, Ronald C. W. Ma*, Ching Wan Lam, Wing Hung Tam, Anthony W. I. Lo, Enders K. W. Ng, Alice P. S. Kong, Wing Yee So, Chun Chung Chow D E S C R I P T I O N o f C A S E Box 1: Causes of Hypertension in Pregnancy 21-year-old pregnant woman, gravida 2 para 1, presented with hypertension and proteinuria at 20 Aweeks of gestation. She had a history of pre-eclampsia in her first pregnancy one year ago. During that pregnancy, at 39 weeks of gestation, she developed high blood pressure, proteinuria, and deranged liver function. She eventually delivered by emergency caesarean section following failed induction of labour. Blood pressure returned to normal adrenal hyperplasia) post-partum and she received no further medical follow-up. Family history was remarkable for her mother’s diagnosis of hypertension in her fourth decade. Her father and five siblings, including a twin sister, were healthy. She did not smoke nor drink any alcohol. She was not taking any regular medications, health products, or herbs. At 20 weeks of gestation, blood pressure was found to be elevated at 145/100 mmHg during a routine antenatal clinic remembered that this could also reflect underlying renal visit. Aside from a mild headache, she reported no other damage due to chronic untreated hypertension. Additionally, symptoms. On physical