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Eclampsia — RCPSC EM MCQ

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HardOB/GYN emergenciesEclampsiaRCPSC EM

A 26-year-old woman at 34 weeks' gestation has a generalised seizure in triage. Blood pressure is 176/112 mmHg, urine protein is positive, platelets are 88 x 10^9/L, and AST is elevated. What is the most likely diagnosis?

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Correct answer: A — Eclampsia

Seizure after 20 weeks' gestation with severe hypertension, proteinuria, thrombocytopenia, and transaminitis is eclampsia until proven otherwise.

Reference: SOGC hypertensive disorders of pregnancy guidance