MDM //
History of hypertension presents for hypertension with SBP _ sent in by PMD with concern for possible pre-eclampsia. Of note, patient without severe range BP in ED. Patient without neuro or ocular concerns at this time. No RUQ and no frank proteinuria. No seizure activity and without cardiothoracic symptoms.. Benign abdominal exam and non-focal neuro exam. Labs largely reassuring_. Therefore, given history and exam, low suspicion at this time for fulminant pre-eclampsia requiring admission. No overt evidence of HELLP, acute cholestasis of pregnancy, or eclampsia at this time. Discussed case with OB and after evaluation, will _. Cautious return precautions discussed w/ full understanding. Prompt follow up with primary care physician/OB arranged and discussed_.
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