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Re: ? HELLP SyndromeFrom: Luis Sanchez-Ramos (luis.sanchez@jax.ufl.edu)Thu Jul 6 09:57:16 2000
At Wed, 5 Jul 2000, Dr. Lynn Montgomery wrote:
>>28 yo presents at 21.5 weeks << >>Ultrasound shows viable AGA fetus<< A VIABLE fetus is one which can survive outside the uterus. At 21.5 weeks' gestation the great majority of fetuses are not viable. No mention is made of BP readings, platelet count, evidence of hemolysis etc. Triploidy is a cause of preeclampsia in the midtrimester, even prior to 20 weeks' gestation, but the ultraosund assessment would give you some "hints" (triploid fetuses do not appear "normal" on ultrasound). The "mirror" syndrome is usually found in patients whose fetuses have non-immune hydrops. This patients needs not be on magnesium sulfate but does need further follow-up in the hospital to rule out preeclampsia. PUBS or amnio could easily be done to rule out triploidy, if the US findings are suspicious. LSR
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