Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Nephrology


Answer 3
  1. Immediate delivery. HELLP syndrome is a serious disorder that is life-threatening to the mother and fetus. It usually occurs between 28 and 36 weeks gestation but may occur postpartum in up to 30% of cases. Some believe HELLP syndrome is a severe form of preeclampsia. Prompt delivery is critical to the management of this syndrome. Platelet infusion should only be given in patients with severely low platelet counts (< 20 × 103/µL), those with significant bleeding, or in patients with a platelet count less than 40 × 103/µL but who may require cesarean delivery. Right upper quadrant ultrasound may show hepatic infarction or subcapsular hematoma but has no role in acute management of this patient. Bedrest alone would risk the life of the mother and fetus. When HELLP syndrome presents earlier in gestation, corticosteroids are given to improve lung maturity of the fetus before immediate delivery.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj