Case Scenario 1
Table 1
Classification and Symptoms of hypertensive Disorder of Pregnancy
Classification
example
Definition
Gestational
Age in
weeks
Maternal
BP
Proteinuria Seizures
>20 weeks
>120/80
Yes or No
Yes or
No
Gestational
HTN
Mild
Preeclampsia
Severe
Preeclampsia
Eclampsia
Chronic HTN
Superimposed
Preeclampsia
Table 2
Define and differentiate between the following PP disorders:
Definition
Signs and
Management of the
symptoms
Diagnosis
Postpartum
Blues
Postpartum
Depression
Postpartum
Obsessive
Compulsive
Disorder
Postpartum
Psychosis
Definition
Presentation
(include Signs
and Symptoms)
Management of the
Diagnosis
Puerperal
Fever
Postpartum
Hematoma
Secondary
(delayed)
Postpartum
Hemorrhage
Sore Nipples
Mastitis
Breast Abscess
Hannah is 38 years old, G1P0, 32 weeks EGA and comes to you for her routine
prenatal appointment. Her BP is 156/96 and her urine has 2+ protein. She
complains of having a headache that will not go away and just not feeling “right”
for the past 7 days.
Write a brief SOAP note regarding this patient. Make sure to include your answers
to these questions in your SOAP note.
1. Subjective:
a. What other relevant questions should you ask regarding the HPI?
b. What other medical history questions should you ask?
c. What other OB history questions should you ask?
2. Objective:
a. Describe the appropriate physical assessment that needs to be
included in this visit.
b. Explain what test(s) you will order and perform, and discuss your
rationale for ordering and performing each test.
3. Assessment/ Diagnosis:
a. What is your diagnosis?
b. Include any appropriate differential diagnosis
4. Plan:
a. Do you feel that this can be managed via outpatient? Why? How will
you manage this?
b. Do you feel that should be managed inpatient? Why? What do you
think will be done in patient?
c. If you chose to manage outpatient- explain the medication regimen,
testing, and follow up that needs to be done.
d. If you chose to manage inpatient- explain what medication and
testing will be done in patient, and how will you continue
management once patient is discharged. What medication and
testing do you need to continue for this patient?
e. What patient education is important to include for this patient?
f. Explain complications that can occur if patient does not comply with
treatment regimen.
Provide evidence from the research to support your decision-making.