1. No category

QGKZFC OE WIN Z\K
[K GNB OK[RC .QGKZF \NTZ FTKVGP KRGZM OE WIN Z\K OT OK[RF N[
.FEKNF KZIB CYTPC LZGX
K\VGZ\F NGVKJF \YSVF :QGKZFC KRGZM OE WIN Z\KC NGVKJ
.OEF WIN KMZT KZIB EGPX CYTP LG\ QGKZF \NKI\C
QGKZFC OE WIN Z\K KMGCKS
OEF \PKZH \B EKZGFN NGNT KRGRKCG NY OE WIN Z\KC NGVKJ
GB ZCGTF \NKEDC FJBFN OGZDN ,LMP FBXG\MG FKN[N
.FEKNF \GBXG\C ZGVK[N BKCP GRKB FH NGVKJ .Oligohydramnios=N
WIN \GIKM[ \B EKZGFN KG[T NYG KRGRKC OE WIN Z\KC NGVKJ ,ONGB
.QGKZFF UGSC Q\[C QGCNIF \TVGF \BG F[Y FDZEC FGCDF OEF
.ZCGTF \NKED NT TKV[FN NGMK FNY FDZEC OE WIN Z\KC NGVKJ
K\VGZ\F NGVKJF
:QF QGKZFC OE WIN Z\KC FZKICF \GVGZ\
.Methyldopa ,Labetalol
ZCGEP Z[BM EIGKPC \GR\[P \GVGZ\C NGVKJP TRPKFN [K
F[Y FDZEC OE WINC .FPSNVF IVRC FEKZK OT QGKZF \NTZC
.\KEKZG=LG\ FYZHFC Labetalol=C GB ,Hydralazine=C OK[P\[P
,Hydralazine
QGKZFC OE WIN Z\K KMGCKS
OE WIN Z\K OT QGKZF N[ OKZYPC ,KCKSRJGPZGR QGKZFN FBGG[FC
:GVXR
(3 KV) OKZCGT \\GP\C FKKNT .
(2 KV) FKN[ \GEZVFC Z\GK FNGED \GIKM[ .
ZCGTF \NKEDC \K\GTP[P FJBF .
TGC[F KRVN) OKKCKSRJZVKFF QGKZFF KZYP CGZC \PEYGP FEKN .
.(35=F
NGVKJN \GXNPF
\PKKY .\YGNIPC \GKGR[ QGKZFC OE WIN Z\KC NGVKJN \GXNPFF
.F[Y FDZEC OE WIN Z\K N[ OKZYPC YZ NGVKJN \VZGD FXNPF
QGMKSF \\IVFN FPZD BN OEF WIN \EZGF[ GBZF \GZYGCP \GEGCT
QGKZFF \GBXG\ \B FZVK[ BNG FKN[F \GEZVF N[ GB QGKZF \NTZ N[
KRGRKCG NY OE WIN Z\KC NGVKJN Z[YC \GIMGF KE QKB .ZCGTNG OBN
F\GP\F KZGTK[C FEKZK F\VXR BN \GEGCT 13 LG\P 6=C .QGKZFC
.ECNC FNY FEKZK F\VXR \GEGCTFP 3=C .OKEGNKC
.110-150/105 mm Hg NTP OKMZTC OKNKI\P :K\VGZ\ NGVKJ
.Labetalol GB Methyldopa= FZKICF \GVGZ\
,Z\GK GB 110/180 mm Hg N[ ,F[Y FDZEC OE WIN Z\KC
:UGIE NGVKJC LZGX [K ,\KCKSRJZVKF FK\VGNVXRB KRPKSC FGGNPF
.Labetalol GB Hydralazine N[ \KEKZG=LG\ FYZHF
.QGKZFC OK[R NXB 14%=3%=MC FTKVGP QGKZF \NTZ
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ZJVD KHGT 'VGZVG DZCRJKG FZNY Z"E
OE WIN Z\KG FKDGNGZVRN LZTPF
FGGY\ I\V ,QGSRKNKC SGVPY ,QKCZ KBGVZ HMZP
Z\GKC KNGJSKSF OEF WINC FKKNTM ZEDGP QGKZFC OE WIN Z\K
.15 mm Hg NTP KNGJSBKEF OEF WINC FKKNT GB 30 mm Hg =P
.K[KN[F ZJSPKZJC M"PP 140/85 NTP OE WIN :\VSGR FZEDF
\CIZF CYT KR[FG QG[BZF ZJSPKZJC EZGK OEF WIN QKY\ QGKZFC
Prostaglandines=C FKKNT :OEF KNM \CIZFN \GCKS .\GNGKZJZBF
.QGKZFC Angiotensin=N \GEKPTG
Mercury \ZHTC BKF \VETGPF OEF WIN \EKEP \JK[
FCGDC ,QKPK EKC OKB\P NEGDC NGGZ[ OT sphygmomanometer
KVN EEPR KNGJSBKEF OEF WIN .\GYE 5=M N[ FIGRP ZIBN ,CNF
\RP NT \GZHGI \GEKEPC LZGX [K .(Korotkoff) K[KPI NGY \GPNTKF
FTKDP QGKZFC OEF WIN Z\K \GIKM[ .OEF WIN KMZT \B \PBN
Z\K OT \GZIB OKNGI \GXGCYC GPM QGKZFC OK[R NXB .20%=12%=N
YEGC BVGZ \GIMGRC OEF WIN \KKNT N[ FTVG\ \PKKY ,OE WIN
FCZF YGEF Z[Y [K KM ZZC\P .\YEGC \GIB NXB ,F\GIV FEKPCG
QKCN \GT[ 24 N[ KZGJNGCPB OE WIN ZGJKRC \GEKEP QKC Z\GK
W.C.H.) YEGC \GIMGRC OEF WIN \KKNT N[ FTVG\ .QGKZFF \GBXG\
30%=20%=M FVKYPG CJKF OGKF \ZMGP (white coat hypertension
OT OK[R N[ QGKZFF \GBXG\ .QGKZFC OE WIN Z\K OT OK[RFP
\GIKM[N JZV ,OE WIN Z\K BNN OK[R N[ \GBXG\N \GPGE W.C.H.
ZGJKR YZ .35% \PGTN 12% = KZSKY IG\KR N[ Z\GK FFGCD
NGVKJ TGRPNG GH FXGCY QICBN Z[VBP \GT[ 24 N[ KZGJNGCPB
.Z\GKP
LB ,\GCZ QF QGKZF \NTZNG QGKZFC OEF WIN \KKNTN \GCKSF
OKDGS FPM OKPKKY .OEF WINC FKKNT TGRPN Q\KR BN OKZYPF CGZC
.(1 FNCJ FBZ) QGKZFC FGCD OE WIN N[
KRGZM OE WIN Z\K
TGC[ KRVN TKVGPF FGCD OE WINM ZEDGP QGKZFC KRGZM OE WIN Z\K
ZIBN \GTGC[ 6 EZK BNG QGKZFC FND\F[ OE WIN Z\K GB ,QGKZFN 20
.FEKNF
BGF .OKZHGI \GRGKZFCG ZDGCP NKDC IKM[ QGKZFC KRGZM OE WIN
30%=15%=C .OKRKY\ OKSYNVZF ,Q\[C QGCNI \[ZVFC FGGNP GRKB
OE WIN Z\KG FKDGNGZVR
\JBF :ZCGTN FRMS [K OKNVGJP BN OKZYPC .QGKZFF OGKSN \KEKKP F[KB NXB \GYXCG Q\[C QGCNI \[ZVF ,FGCD OE WIN \TVGF
:FRMS \VY[R OBN OD .\GGP ,\PEYGP FEKN ,\KPIZ=LG\F FNKEDF FNB OKBXPP .QGKZF \NTZ \GRKKVBP 20 TGC[F KZIB QG[BZ QGKZFC
.QGKZFF OGKS ET OKZKPIP
OGPKE ,\GBKZ \YXC ,KIGP OGPKE ,\GKGXGGM\F ,F[Y OE WIN Z\K
KPKHRBC FKKNT ,FHKNGPF) ,
\RGPS\ ,\GKNM \YKVS=KBG KECM .(2 FNCJ FBZ) QGKZF \NTZN FGCD QGMKS OT OK[R \XGCY \PKKY
.(4 FNCJ FBZ) (OKJKXGCPGZJC FEKZKG ECMF
OT FVGIE FEKN OGHKN [K ,GNNF OKRPKSFP EIB N[ FTVGFC
OKPK FPM GNKVB ZKPIFN FNGMK QGKZF \NTZ .OBFG EGNKKF ZIB CYTP
.FEKNF ZIBN \GTGC[ ET
HELLP
Transient Hypertension
ET EZGK NNM LZECG K[KN[F ZJSPKZJC TKVGPF OE WINC ZCGEP
WINC ZCGEP ,EZGK GRKB OEF WIN[ FZYPC .FEKNF ZIBN \GTGC[ 8=6
WIN Z\KN QPPS FGGFP QGKZFC KRPH OE WIN ,FBZRF NMM .KRGZM OE
FYKRKP OE WIN Z\K OT F[KB OFC OKZYPC .ZDGCPF NKDC OE
KN GJSB KEF OEF WIN Z[BM . \GPKB\P \GVGZ\ ZGICN LZGX [K
NTP BGF
FRKB \N\[GP OB OD .YKRKFN WNPGP BN
.EGNKN \GNKTZ QRF FKKIE EDR \GVGZ\F[ QGGKMP YKRKFN FNGMK
.FNY \GKNM \YKVS=KB OT OK[RFP 35%=C TKVGP OE WIN Z\K
Z[BP \KZNGZPGND FNIP OT OK[RC FIKM[ Z\GK OE WIN Z\K \TVGF
OE WIN Z\KC F[KDN FPGE \KNGVKJF F[KDF .\KNBKXKJSZJRKB FNIP
NGVKJC LZGX [K Z[BM ,F[Y \GKNM \YKVS=KB OT F[KBN JZV ,KRGZM
\GKNM \NIP OT F[KB NXB QGKZF \NTZ QICBN F[Y .FHKNBKE KEK NT
.\KZGBF FXPGIC FKKNTG \ZCDGP QGCNI \[ZVF CYT ,\KRGZM
.QGKZF \NTZC YZ OKTKVGPF OKZCDGP OKSYNVZ = CG[IF QPKSF
TXCN [K ,FEKNFP OKK[EGI LG\ EZGK GRKB OEF WIN Z\KG FEKPC
OE WINN ZGZKCG Q\[C QGCNI \[ZVF ,FKNM KEGYV\ NNGM BNP ZGZKC
.KR[P
110 mm Hg
CYTPG \GXNPF
\GTGC[ 8=6 \ZGYKCN FYGYH QGKZFC OE WIN Z\K OT F[KB NM
QGKZF \NTZ FI\KV[ F[KBN .USGR QGKZF QRM\N \RP NT FEKNF ZIBN
.OKBCF \GRGKZFC OE WIN Z\K \TVGF N[ 40%=30%=M N[ \GIKM[ [K
\RGPS\ OT F[KBN
\TVGFN 5%=M N[ \GZC\SF [K
.USGR QGKZFC \RGPS\F
,QGKZFF N[ OKPEYGPF \GTGC[C F[Y QGKZF \NTZ FTKVGP Z[BM
\GK[KZY N[ \RGSP\ \NKN[N) \KDGNGJPF FBVZPC ZGZKCC LZGX [K
.QGKZFF N[ \GCGJ \GBXG\N TKDFN \RP NT (Z\K
\GDZE OT OK[R ZIB ,DGNGJRGBRG DGNGZVR ,DGNGYRKD N[ YGEF CYTP
\GCGJ \GBXG\ IKJCPG OKMGCKS TRGP KRGKZF OE WIN Z\K N[ \GRG[
.EGNKNG OBN Z\GK
QGKZF \NTZ KRPKS
OK\KTNG QGKZF \NTZC \GYGIZ OK\KTN FTKVGP \GKNM \YKVS=KB
mg/dl 5.5 NTP \KZGBF FXPGIC FKKNT .
\RGPS\C FGGNP
\DKVSC FKKNT BKF LMN FCKSF .QGKZFF \NTZ KRPPSP EIB FRKF
=C \KZGB FXPGIG QZ\RF
.\K\KKNM FKPMSKB CYT
NKECFN Q\KR LMG OKMGPR \KZGBF FXPGIF KMZT KRGZM OE WIN Z\KC
.(3 FNCJ FBZ) FNB OKCXP KR[ QKC
QGKZF \NTZ .OKRPKSF \ZPGIC FKGN\ QGKZF \NTZ N[ FHGRDGZV
WIN ,NGVKJ \[ZGE BNG FNY FNIP BKF NNM LZEC QG[BZ QGKZFC FNY
\GIKM[F .(FEKNF ZIBN OKKTGC[ LG\) \GZKFPC QKY\N ZHGI OEF
KNC GB OT ,F[Y QGKZF \NTZC .7%=5% BKF OKVSGR \GRGKZFC
:FCGJ \GIV FHGRDGZVF ,KR[F ZJSPKZJC FTKVGPF
.OKVSGRF \GRGKZFC FGCD HGIBC TKVGP (1
.ZDGCP NKDC OE WIN TKVGP FGCD HGIBC (2
KCBM .F[Y QGKZF \NTZ OT OK[R NXB TKVGFN FNGMK
,FKBZ [GJ[J ,[BZ
\GKGXGGM\FG OKZT OKSYNVZ ,
\TVGF .GH FTVG\ OKRKKVBP
EGBP FZKFP \GKFN FNGMK
.(\GZGVS \GT[ LG\)
HELLP
Proximal tubule
Eclampsia
Eclampsia
Scotoma
Eclampsia
QGKZF \NTZG KRGZM OE WIN Z\K
FRMFCG EGPX CYTPC LZGX [K QGKZF \NTZ OKRICBP Z[BM
HELLP
(.\MZTPC FZGP[ \GZGYPF \PK[Z)
OE WIN Z\KG FKDGNGZVR
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