Case Presentation: A healthy 27 year-old woman G1P0 presented at 29 weeks gestation with three days of headaches, intermittent confusion, blurry vision, vomiting, and shortness of breath. Physical exam was remarkable for hypertension to 160/93, a Petechial rash on extremities without neurologic signs. CBC was notable for hemoglobin of 5.9, Platelets 11000 with many schistocytes. […]