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Postpartum pre-eclampsia — DRCOG MCQ

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HardPostnatalPostpartum pre-eclampsiaDRCOG

A 31-year-old woman had pre-eclampsia and delivered 4 days ago. She attends the GP with severe headache and blood pressure 166/108 mmHg. She has visual blurring and brisk reflexes. What is the most likely diagnosis?

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Correct answer: A — Severe postpartum pre-eclampsia

Severe hypertension with headache, visual symptoms and brisk reflexes in the early postnatal period is most consistent with severe postpartum pre-eclampsia. Migraine may cause visual symptoms but does not explain the severe hypertension and obstetric context. The pearl is that eclampsia risk continues after delivery.

Reference: NICE NG133; NICE NG194