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Re: ? HELLP Syndrome From: Ronnie Martinez Brignardello (ronniem@entelchile.net) Wed Jul 5 21:11:19 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: ? HELLP Syndrome" Previous message: Hugo D. Ribot Jr.: "Re: Ob/Gyn programs for Palm" Maybe in reply to: Dr. Lynn Montgomery: "? HELLP Syndrome" Next in thread: Joe Cutchin: "Re: ? HELLP Syndrome" ......THE ONLY THING OF HELLP IS HELP WITH THE DIAGNOSIS RONNIE Terrence Jones wrote: > Would be less worried about triploidy/aneuploidy (mirror syndrome) in the absence of hydrops, IUGR, anomalies, or elevated HCG on MSS. Tho "early", 15% of HELLP is second trimester. But this doesn't sound like HELLP - nml coags (would this include platelet count?), and no mention of MHA (no hemolytic anemia). What was Her AST/ALT. Did Ya' include an LDH? When doing the liver sono, did they mention nml parenchyma along with the absence of infarction or hematoma? The edema appears to be more related to decreased intravascular oncotic pressure (hypoalbuminemia) than increased hydrostatic? Would be wondering about inflammatory (AIH/PBC)/toxic (CCl4), and less (considering the absence of elevated bili (jaundice)) - infectious (Hepatitis/ Disseminated HSV) causes. Antibody and immune globulin evaluation in autoimmune liver disease can be tricky to interpret (ANCA/anti Sm. Muscle AB/ anti-mitochondrial AB's) and can help determine optimal Rx options (steroids vs agents aimed at dimin! > ! > shing FX of biliary stasis). Let us know what the GI consult thinks. If I missed anyone on the 1st, Happy Canada Day! tj. Next message: Efrain Ramirez: "Re: ? HELLP Syndrome" Previous message: Hugo D. Ribot Jr.: "Re: Ob/Gyn programs for Palm" Maybe in reply to: Dr. Lynn Montgomery: "? HELLP Syndrome" Next in thread: Joe Cutchin: "Re: ? HELLP Syndrome"

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