A 20-week pregnant patient with a history of hypertension is showing signs of increasing blood pressure, proteinuria, and abnormal liver function tests. What is the most likely diagnosis?
Gestational hypertension
Hyperemesis gravidarum
Preeclampsia
Eclampsia
The patient is exhibiting symptoms that are highly indicative of preeclampsia, a condition specific to pregnancy. Key features include hypertension, proteinuria, and potentially abnormal liver function tests. Hyperemesis gravidarum involves severe vomiting leading to dehydration and weight loss but does not involve hypertension or proteinuria. Gestational hypertension involves elevated blood pressure but lacks the proteinuria and abnormal liver function characteristic of preeclampsia. Eclampsia is characterized by seizures in addition to the signs of preeclampsia.
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