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Re: Clinical case From: ATFSOCCER@aol.com Tue Mar 25 22:27:57 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ATFSOCCER@aol.com: "Re: Clinical case" Previous message: ELLIETAZ@aol.com: "Bought the ureter......" Maybe in reply to: RICARDO FRANCALACCI SAVARIS: "Clinical case" Next in thread: ATFSOCCER@aol.com: "Re: Clinical case" In a message dated 97-03-24 13:55:05 EST, you write: > >> 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. At 2:00 >pm she started to be agitated and to complain about epigastric and >> upper right quadrant pain. Acute, sharp, non irradiated, no colic like, no >> burnig, never experienced this pain before. Abdominal palpation: Tenderness >> on the epigastric and upper right region, no rebound reflex. Bowel >> movements diminished. Pelvic exam normal. BP 170/100 PR: 72 bpm > >> Ricardo F. Savaris, M.D., MSc,:::::: e.mail: savaris@orion.ufrgs.brl Other than for her multiparity, it sounds fairly typical for severe PIH. My other considerations in the differential would be HELLP Syndrome or Acute Fatty Liver of Pregnancy. Lets take a look at the liver functions, Hb and platelets and serum ammonia. I'll go with the "zebra" diagnosis of Acute Fatty Liver with elevated serum NH3 to explain the agitation. Andy Folley Next message: ATFSOCCER@aol.com: "Re: Clinical case" Previous message: ELLIETAZ@aol.com: "Bought the ureter......" Maybe in reply to: RICARDO FRANCALACCI SAVARIS: "Clinical case" Next in thread: ATFSOCCER@aol.com: "Re: Clinical case"

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