A 23 year old pregnant woman presents with a headache, blurred vision, and swollen hands. What condition should you suspect?

The symptoms of headache, blurred vision, and swollen hands in a pregnant woman are indicative of preeclampsia. Preeclampsia is a condition that typically occurs after the 20th week of pregnancy and is characterized by hypertension and the presence of protein in the urine. The headache and blurred vision point to possible elevated blood pressure affecting the central nervous system, while swollen hands can be a result of fluid retention associated with the high blood pressure.

In this scenario, these symptoms together suggest that the woman may be experiencing significant changes in her vascular system due to preeclampsia. The condition, if not managed promptly, can lead to more severe complications, including eclampsia, which involves seizures and is a progression of the symptoms of preeclampsia.

Gestational diabetes typically presents with different symptoms, primarily related to blood sugar levels, and does not commonly include headaches and blurred vision as initial presenting symptoms. Hyperemesis gravidarum is characterized by severe nausea and vomiting during pregnancy and does not correlate with the symptoms in this case. Understanding the specific signs and symptoms associated with these conditions is essential for proper diagnosis and management.