Diagnosis on the spotFree in the app
Headache, visual change or fit
In pregnancy think pre-eclampsia first.
Source: NICE NG133 Calculator
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- BP twice, urine PCR, reflexes and clonus.
- PET bloods: FBC, U&E, LFTs; PlGF if 20–36+6 weeks.
- Fundoscopy, neurological exam.
Think
| BP high + protein | Pre-eclampsia (eclampsia if fit). |
|---|---|
| Thunderclap / focal signs | Subarachnoid haemorrhage, cerebral venous thrombosis — urgent imaging. |
| Postdural | Postural headache after epidural. |
| Fit, BP normal | Epilepsy, hypoglycaemia, stroke — still give MgSO4 until eclampsia excluded. |
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.