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Re: Clinical case From: Bernard Cristalli (bcrist@club-internet.fr) Mon Mar 24 14:08:56 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: Clinical case" Previous message: Terrence.Jones@ncal.kaiperm.org: "reply" Maybe in reply to: RICARDO FRANCALACCI SAVARIS: "Clinical case" Next in thread: Bernard Cristalli: "Re: Clinical case" RICARDO FRANCALACCI SAVARIS wrote: > > Female, 34 yo, black, G7P6, 40 wks, arrives on the Delivery Ward at 7:30 am > with BP of 210/140, headache, vaginal bleeding, epigastric pain. > Started with Hydralazine, Mg++ sulphate, and in 10 minutes had a normal > delivery of a baby with thick meconium, APGAR 5/6 > At 11:30 am, another hypertensive peak 170/120, Started with Nifedipine SL, > alpha-methildopa 500 mg tid. BP controlled ... > > One hour later: > FBC: Hb: 12.3 Leukocytes: 21,600 with shift to the left Platelets 336,000 > Amylase, SGPT, Creatinine: normal > SGOT: slightly elevated 54 (n <42) > -- Severe toxemia with HELLP syndrome -- Bernard Cristalli MD CNGOF Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Bernard Cristalli: "Re: Clinical case" Previous message: Terrence.Jones@ncal.kaiperm.org: "reply" Maybe in reply to: RICARDO FRANCALACCI SAVARIS: "Clinical case" Next in thread: Bernard Cristalli: "Re: Clinical case"

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