. Case Study: Hypertension in PregnancyKita Brown is a 36-year-old G1 P0 black female presenting to her local urgent care withheadache and stating her mother took her blood pressure and it was a “little higher than itshould be”. Kita has had an unremarkable pregnancy, which was conceived thru IVF. She iscurrently 30 5/7 weeks pregnant and relates she has had no problem with her pregnancy. Sheonly takes prenatal vitamins, and relates she was on hctz prior to pregnancy for borderline BPbut stopped it when she underwent IVF and her BP has remained “pretty normal”. Sher relatesshe was prescribed po labetalol but did not take it regularly as she didn’t want to take anythingthat might hurt the baby.Her initial prenatal screening, including initial labs, and third trimester CBC and glucose testinghave been normal. She additionally at her 1st prenatal visit had baseline PIH (pregnancyinduced hypertension/pre-eclampsia) due to her history of hypertension which were normalincluding a protein to creatine ratio.Upon intake at the urgent care the notes relate she appears in no apparent distress, and shehas reported fetal movement within the past hour. She denies, any other symptoms includingepigastric pain, vision changes or nausea. She states fetal movement has been normal, anddenies leaking fluid, vaginal bleeding, or contractions. She relates slight swelling and her weightgain date has been 17 lbs. Current BMI is 25.1. BP is 162/90, pulse 82, respirations 16 andunlabored, temperature 98.2 orally. Kita was transferred to the emergency room due to hercomplaints and her gestational age.Upon arrival to the emergency room 30 minutes later her repeat BP was 166/ 88. It was retaken15 minutes later and was 162/92. All blood pressures were confirmed with a manual cuff. Shehad no additional complaints.
Based on your assigned case study, post a Focused SOAP NOTE with the following:
Differential diagnosis (dx) with a minimum of 3 possible conditions or diseases.
Define what you believe is the most important diagnosis. Be sure to include the first priority in conducting your assessment.
Explain which diagnostic tests and treatment options you would recommend for your patient and explain your reasoning.
Your differential diagnosis, what you believe the most important diagnosis is and why, additional diagnostic tests and treatments and rationales are what this assignment and grading is focused on.
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