2 Days Of Severe in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#512
SMLE Question #512
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 28-year-old primigravida at 33 weeks presents with 2 days of severe frontal headache, visual disturbance, and 1 week of progressive leg swelling. Examination shows 3+ bilateral pitting edema and brisk deep tendon reflexes. Urine dipstick is 3+ for protein. Blood tests show thrombocytopenia and elevated transaminases. After initial maternal stabilisation and fetal assessment, what is the most appropriate next step in management?
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