Wednesday, August 27, 2008

Help

A pregnant woman at 32 weeks gestation presents with abdominal pain, nausea, vomiting, and malaise. She has mid-epigastric and right upper quadrant tenderness. Exam shows blood pressure 150/90 and proteinuria. Labs show platelets at 80,000, serum LDH 800, total bilirubin 2.0, and serum AST 120.

Challenge: What is your diagnosis?

Image shown under fair use.
at

2 comments:

  1. AlexAugust 27, 2008 at 1:51 PM

    HELLP syndrome?

    ReplyDelete
  2. CraigAugust 29, 2008 at 7:13 PM

    Help

    As the title suggests, this is HELLP syndrome characterized by a microangiopathic hemolytic anemia (seen in the peripheral blood smear), elevated liver enzymes, and a low platelet count. The cornerstone of therapy is delivery.

    Sources: UpToDate, image originally courtesy of Carola von Kapff.

    ReplyDelete

Comments on this blog are moderated so they will not show up until after the solution to the case is posted.

Note: Only a member of this blog may post a comment.