A patient at 31 weeks' gestation presents with an intractable headache, normal BP, and visual disturbances. What condition do you suspect?

In this scenario, the presence of an intractable headache and visual disturbances in a patient who is 31 weeks pregnant raises significant concern for preeclampsia with severe features. Preeclampsia is characterized not only by hypertension but also by the presence of specific symptoms that can indicate the severity of the condition.

Severe features of preeclampsia include intractable headaches, visual disturbances (such as blurred vision or seeing spots), and elevated liver enzymes, among other signs. Although the patient's blood pressure is normal at the time of the assessment, the symptoms being presented are indicative of an underlying issue consistent with preeclampsia, which can occur even without elevated blood pressure when severe features are present.

Recognizing the potential severity of preeclampsia is crucial, as it requires careful monitoring and potential intervention to protect both the mother and the fetus. In this case, the symptoms suggest a risk of progression to eclampsia or other complications if left unaddressed.

The other conditions listed do not fully account for the severe symptoms experienced by the patient. Gestational hypertension without severe features would generally involve elevated blood pressure readings without the additional neurological symptoms. Chronic hypertension alone would not account for the new