Skip to main content

Headache and swollen hands at thirty-two weeks

24 yG1P0GA 32+3Acute

A first pregnancy, a headache that paracetamol has not touched, and a blood pressure the triage nurse has repeated twice.

  1. 19:40GA 32+3Step 1

    Triage

    A frontal headache for two days, worse today, with 'sparkles' in her vision this evening. Her rings are tight. Blood pressure 162/108, repeated after 15 minutes: 158/106. Fetal heart rate 140.

    HR 96 · BP 162/108 · RR 16 · SpO2 98%FHR 140 · Present but less than usual today

    What is the working diagnosis and its severity?