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Consult note
by User Interconnect | on Camila Maria Lopez | 3 days ago | 0 comments
Overnight BP monitoring (19:56 UTC–05 Jun 19:56 UTC) is notable for a single critical hypertensive reading: 200/100 at 19:32 (pulse 100). This exceeds ACOG Stage 2 threshold (=160 systolic or =110 diastolic) and triggered a “Severe” AI alert at 19:32. Surrounding values were not persistently elevated: 148/96 at 18:15 (Stage 1 range =140/90), then 120/80 at 19:31 (normalized), followed by 121/79 at 19:36 (normalized). No symptoms were detected in the AI adjudications (score reflections driven by BP only); no EPDS reported. Two severe alerts were opened and remain open: 18:58 (SLA breached) and 19:33 (SLA pending), consistent with the hypertensive episode at 19:32. Two urgent SMS messages were sent at 18:27 and 19:33 instructing emergency evaluation; resolution status of escalation is not documented.
Overall pattern: brief spike to Stage 2 range with rapid return to baseline within minutes; however, the isolated severe-range BP warrants prompt clinical evaluation to exclude hypertensive emergency/secondary causes and to assess for recurrence/persistence.