A 26-year-old postpartum (day 5) develops new severe headache and BP 168/110 mmHg. Platelets 190k, AST normal, 3+ protein. Best next step?...

Question

A 26-year-old postpartum (day 5) develops new severe headache and BP 168/110 mmHg. Platelets 190k, AST normal, 3+ protein. Best next step?

Accepted Answer

Start magnesium sulfate and antihypertensives; evaluate for postpartum preeclampsia

Answer

Reassure and follow-up

Answer

Start triptan for migraine

Answer

Discharge with home BP monitoring only

Answer

Start ACE inhibitor and NSAID

us-usmle-step-2 MCQ (SBA): Postpartum Preeclampsia