<prompt> Feature of Pre-eciampsia includes all except: PGI May 2011B.P 14090 after 20 wkEpigastric painVomitingVisual disturbance heartburn  <response>: Ans : C Vomiting SEVERE PREECLAMPSIA Harrison 17th44It is the presence of new-onset hypertension and proteinuria accompanied by central nervous system CNS dysfunction headaches, blurred vision, seizures, coma, marked elevations of blood pressure 160110 mmHg, severe proteinuria 5 g24h, oliguria or renal failure, pulmonary- edema, hepatocellular injury ALT 2 x the upper limits of normal, thrombocytopenia platelet count 100,000L, or disseminated intravascular coagulation.The HELLP hemolysis, elevated liver enzymes, low- platelets syndrome is a special subgroup of severe preeclampsia and is a major cause of morbidity and mortality in this disease. The presence of platelet dysfunction and coagulation disorders further increases the risk of strokeNoteWomen with mild preeclampsia are those with the diagnosis of new-onset hypertension, proteinuria, and edema without evidence of severe preeclampsia.Table Williams ObstetricsDiagnosis of Hypertensive Disorders Complicating Pregnancy Gestational hypertensionBP 14090 mm Hg for first time during pregnancyNo proteinuriaBP returns to normal 12 weeks postpartumFinal diagnosis made only postpartumMay have other signs or symptoms of preeclampsia, for example, epigastric discomfort or thrombocytopenia PreeclampsiaMinimum criteriaBP 14090 mm Hg after 20 weeks gestationProteinuria 2300 mg24 hours or 1 dipstickIncreased certainty of preeclampsiaBP 160110 mg HgProteinuria 2.0 g24 hours or 2 dipstickSerum creatinine 1.2 mgdL unless known to be previously elevatedPlatelets 100,000mm3Microangiopathic hemolysis increased LDHElevated ALT or ASTPersistent headache or other cerebral or visual disturbancePersistent epigastric pain EclampsiaSeizures that cannot be attributed to other causes in a woman with preedampsiaSuperimposed Preeclampsia on chronic hypertensionNew-onset proteinuria 300 mg24 hours in hypertensive women but no proteinuria before 20 weeks gestationA sudden increase in proteinuria or blood pressure or platelet count 100,000mm3 in women with hypertension and proteinuria before 20 weeks gestation Chronic HypertensionBP 14090 mm Hg before pregnancy or diagnosed before 20 weeks gestation not attributable to gestational trophoblastic diseaseorHypertension first diagnosed after 20 weeks gestation and persistent after 12 weeks postpartum 