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PBL Obstretics
PBL Obstretics
History
Examination
pressure is 140/85 mmHg and pulse rate 98/min.
Her blood
The fetus is cephalic and free, with fetal parts easily felt on
palpation. Patellar reflexes are normal.
Investigations
Questions
Diagnosis
The diagnosis is made on the blood test results showing the relevant
features of HELLP. In this case there is also pregnancy-induced
hypertension and proteinuria. However these clinical features do not
need to be present to make the diagnosis of HELLP syndrome.
Management
The woman needs urgent delivery. This may be vaginal, with regular
monitoring of the blood test results and proteinuria every 6 h. Hourly blood
pressure should be recorded.