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Re: ? HELLP Syndrome From: art fougner, md (evsono@pipeline.com) Wed Jul 5 12:06:00 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Eberhard W Lisse: "Re: ? HELLP Syndrome" Previous message: Dr. Lynn Montgomery: "Re: Floating Villi {:<(" now all you need are some occasional variable decels ;) seriously, continues hospitalization at present seems prudent. art At Wed, 5 Jul 2000, Dr. Lynn Montgomery wrote: > >Have not done a karyotype-good thought. I am currently with you Joe. I >just haven't had the guts to send her home for the very reasons you >mentioned... > >> Would wonder about a quick karyotype... STILL worried about triploidy, >since >> his is WAY early for preeclampsia in its usual presentation. Maybe a CVS >> (which CAN be done on a "mature" placenta, right? Esp. if you're looking a >> chromosome numbers, rather than weird deletions etc.. which take more >time.) >> >> It's fairly characteristic that in preeclampsia, bed rest will TEMPORARILY >> make the syndrome get "better," but it always returns. I'd be scared to >let >> her go home like this, especially with the epigastric pain and elevated >liver >> functions. If she goes home, she could come back with seizures and/or >> ruptured liver. So I'd vote to keep her so the hammer can drop in the >> hospital under observation. >> >> Joe P. >> -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Eberhard W Lisse: "Re: ? HELLP Syndrome" Previous message: Dr. Lynn Montgomery: "Re: Floating Villi {:<("

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