Case of the Month #9 - pre-eclampsia
What is your differential diagnosis?
- Pulmonary embolism
- (Leading cause of direct maternal deaths during or up to 6 weeks postpartum in the UK)
- Pre eclampsia
- Amniotic fluid embolism
- Haemorrhage – Including concealed e.g abruption, praevia, uterine rupture
- (Leading cause of maternal death worldwide)
- Cardiac disease
- (Leading cause of indirect maternal deaths in UK)
- Drug toxicity/overdose
- (Suicide is the leading cause of direct deaths occurring within a year of pregnancy in UK)
On examination you find she is cool peripherally with increased capillary refill time. She has a tense, hard abdomen. A venous blood gas reveals Lactate 3.1, H+ 59, Hb 63.