A 32-year-old primigravida at 8 months gestation presents with a sudden generalized tonic-clonic seizure. She reports a 2-week history of progressive headaches, blurred vision, and right upper quadrant abdominal pain. Vital signs show BP 168/110 mmHg, HR 102/min, RR 20/min, temperature 37.2°C. Laboratory studies reveal proteinuria (3+) and elevated liver enzymes. Reflexes are hyperactive. No prior seizure history or fever. Which diagnosis best explains her presentation?
- A)Idiopathic generalized epilepsy
- B)EclampsiaGABARITO
- C)Acute stroke
- D)Subarachnoid hemorrhage
- E)Intracranial tumor
Explicação
Eclampsia presents with seizures (generalized tonic-clonic most common) in the setting of preeclampsia features: hypertension, headache, visual disturbances, and RUQ pain. It is a medical emergency requiring immediate delivery and magnesium sulfate therapy. Ver explicação completa e trilha adaptativa →