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Re: Interesting case From: Danny Tucker (obgylist@obsdoc.demon.co.uk) Tue Apr 16 21:37:07 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: VladimirT@aol.com: "OB-CNM Collaborative Practices" Previous message: Dr Antonio Valdez: "Renal TB and pregnancy" On Tue, 16 Apr 1996, "R. Daniel Braun" <rBraun@IUNET.IUPUI.EDU> wrote: > >At 0100 hours that night, she developed, severe epigastric pain. The >resident saw her and got repeat "Pre-Eclamptic Labs" Platelets 240K, >LDH 450, SGOT33-----all normal. At 0500, the patient was still having >severe epigastric pain. Labs repeated: Platelets now 140K LDH 700 and >SGOT 125. Attending then notified for staffing for C/S. >By attending exam, patient complaining of severe pain but no evidence of >tenderness or hepatomegaly. U/S of RUQ no evidence of hepatic >enlargement and no apparent abnormalities in liver parenchym by U/S. Presumably no Hx of gastric ulcer, NSAID intake. ?Neuro exam normal. The following may add to the picture: uric acid, renal biochem., amylase, blood film (?haemolysis) For the short term, how about: catheterise & hrly urine o/p, continuous CTG monitoring, re-check bloods in 3 hours unless clinical situation changes Are people out there happy to sit on fulminating HELLP (if that's what this develops into) - how about high dose steroids? --------------------------------------------------------------------- Dr Danny Tucker --------------------------------------------------------------------- SHO Obstetrics & Gynaecology -- --------------------------------------------------------------------- Nottingham, UK dtucker@obsdoc.demon.co.uk ~ The truth is out there ~ --------------------------------------------------------------------- Next message: VladimirT@aol.com: "OB-CNM Collaborative Practices" Previous message: Dr Antonio Valdez: "Renal TB and pregnancy"

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