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Re: ? HELLP Syndrome From: Braun, R. Daniel (rbraun@iupui.edu) Wed Jul 5 11:23:43 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: james connerth: "Re: ? HELLP Syndrome" Previous message: DoctorJoe@aol.com: "Re: ? HELLP Syndrome" Maybe in reply to: Dr. Lynn Montgomery: "? HELLP Syndrome" Next in thread: james connerth: "Re: ? HELLP Syndrome" Stop the Mag and keep her in the hospital. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 <http://www.allexperts.com/displayExpert.asp?Expert=1236> -----Original Message----- From: Dr. Lynn Montgomery [mailto:lmontgomery@communitymed.org] Sent: Wednesday, July 05, 2000 10:00 AM To: Multiple recipients of list OB-GYN-L Subject: ? HELLP Syndrome All right, I really need help on this one y'all. 28 yo presents at 21.5 weeks with severe headache, epigastric pain and mild shortness of breath. Found to have elevated liver function tests, 25 pound weight gain in 3 days. Coags, urine protein, renal function, cardiac echo, uric acid, TSH, autoimmune and antiphospholipid work-up all normal. Ultrasound shows viable AGA fetus, no evidence of molar element Hospitalized and started on mag sulfate. Over the course of the next week, the edema resolved and the liver function returned to normal and has remained such. The patient feels great except residual pain from the markedly severe pedal edema she had. Fetus continues to look good. Now what to do: -Stop the mag and send her home? -Keep her on the mag, in the hospital and wait for the hammer to drop Lynn -- Lynn D. Montgomery, M.D. Director, Maternal-Fetal Medicine Rocky Mountain Perinatal Center 2825 Fort Missoula Rd., Suite 130 Missoula, Montana, 59804 406-327-4094 fax: 406-327-4154 e-mail: lmontgomery@communitymed.org <mailto:lmontgomery@communitymed.org> Website: www.communitymed.org/rmpc/ <http://www.communitymed.org/rmpc/> Next message: james connerth: "Re: ? HELLP Syndrome" Previous message: DoctorJoe@aol.com: "Re: ? HELLP Syndrome" Maybe in reply to: Dr. Lynn Montgomery: "? HELLP Syndrome" Next in thread: james connerth: "Re: ? HELLP Syndrome"

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