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Q2. Correct answer: D
Rationale
HELLP syndrome is a multisystemic disorder that is characterized by the development of hemolytic anemia, elevated liver enzymes, and low platelets. Most cases occur between 28 and 36 weeks of gestation, but it can also develop up to 1 week postpartum in 30% of cases.
Reference
Fitzpatrick KE, et al. Risk factors, management, and outcomes of hemolysis, elevated liver enzymes, and low platelets syndrome and elevated liver enzymes, low platelets syndrome. Obstet Gynecol. 2014 Mar;123(3):618-27.
Q2. Correct answer: D
Rationale
HELLP syndrome is a multisystemic disorder that is characterized by the development of hemolytic anemia, elevated liver enzymes, and low platelets. Most cases occur between 28 and 36 weeks of gestation, but it can also develop up to 1 week postpartum in 30% of cases.
Reference
Fitzpatrick KE, et al. Risk factors, management, and outcomes of hemolysis, elevated liver enzymes, and low platelets syndrome and elevated liver enzymes, low platelets syndrome. Obstet Gynecol. 2014 Mar;123(3):618-27.
Q2. Correct answer: D
Rationale
HELLP syndrome is a multisystemic disorder that is characterized by the development of hemolytic anemia, elevated liver enzymes, and low platelets. Most cases occur between 28 and 36 weeks of gestation, but it can also develop up to 1 week postpartum in 30% of cases.
Reference
Fitzpatrick KE, et al. Risk factors, management, and outcomes of hemolysis, elevated liver enzymes, and low platelets syndrome and elevated liver enzymes, low platelets syndrome. Obstet Gynecol. 2014 Mar;123(3):618-27.
Q2. A 29-year-old woman at 37 weeks gestation presents to the emergency room with right upper quadrant pain, nausea, vomiting. She is diagnosed with preeclampsia. She is treated with intravenous magnesium, antihypertensive therapy, and labor is induced. Prior to delivery, laboratory values were as follows: aspartate aminotransferase, 240 U/L; alanine aminotransferase, 220 U/L; total bilirubin, 1.8 mg/dL; hemoglobin, 10.1 g/dL; platelets, 110,000 microL. Forty-eight hours following delivery, she complained of worsening right upper quadrant pain and headache. Repeat laboratory values 48 hours postpartum were as follows: AST, 410 U/L; ALT, 390 U/L; total bilirubin, 5.1 mg/dL; hemoglobin, 7.9 g/dL; and platelets 75,000 microL.