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Hello all, after being inactive a few years from being in school, I find myself having more time and access to sitting down and reading for enjoyment. If people are interested I will post a weekly case scenario, that I have personally been involved in the care of, reviewed at M&M rounds or have gotten premission to present in this forum. Please dont think that by presenting cases I feel as though I have nothing to learn, I present so that I may have an opportunity to continue learning. That being said here is Case #1, I will attmept to present straight forward as well as complicated cases.... Case Presentation: 17 yo f calls EMS with a complaint of with progressing vision loss and unbearable headache over the past day. She is a primigravid black female 28 3/7weeks gestation due for hospital/PCP exam tomorrow. Up to this point has had normal pregnancy and takes PNV. No significant past medical history and no family history of significant disorders or disease. Her major complaint is dioplia with bright light and loss of peripheral vision. Headache is rated as a 9/10 on a pain scale, which radiates to temporal region. No SROM, minimal contraction lasting 5 min at 15 min intervals throughout last four hours. Papillary edema, pitting x2 lower extremities. All quadrant tenderness. Initial Vitals: are as follows:RR 24 BP 172/113 HR 99 Temp 99, closest women's hospital is 45 min by gr, community hospital with no maternal services is 12 min by gr..... Disucssion points: Differential diagnosis, treatment thoughts, transport thought