BOF: 3.47
A 38-year-old primigravida presents to the obstetric unit
with a history of vomiting and abdominal pain. She is in her 36th
week of gestation and she is carrying twins.
She also complains of intense thirst and frequent passage
of large volumes of urine. On examination there is epigastric tenderness but
no other physical signs.
Investigations reveal:
Hb 11.5 g/dL
WBC 14 x 109/L
Neutrophils10 x 109/L
Platelets 160 x 109/L
AST 80 U/L
Bilirubin 60 mmol/L
Urea 8.8 mol/L
Creatinine150 mmol/L
Random Blood Glucose 5mmol/L
Abdominal ultrasound scan shows ascites
Which of the following features would help to
differentiate the condition this patient has from the HELLP syndrome?
a)
Elevated bilirubin
b)
Elevated transaminases
c)
Elevated creatinine
d)
Leucocytosis
e)
Vomiting
