SAQ 1534 – Pregnant patient with suspected HELLP syndrome and seizure

Marked out of 26.00

A 26-year-old woman presents with 3 days of lethargy and epigastric pain. She is 28 weeks pregnant.

Her vital signs are temperature 37.3 C, heart rate 110/min, BP 140/90 mmHg, RR 26/min, and oxygen saturation 95% on room air. Blood results show anaemia, thrombocytopaenia, and elevated transaminases and bilirubin. You suspect HELLP syndrome.

List three important differential diagnoses for her presentation.

(Marked out of 3.0)


/ 3

In addition to the findings provided, list six examination or investigation findings that would support HELLP syndrome or pre-eclampsia.

(Marked out of 6.0)


/ 6

List five life-threatening complications of pre-eclampsia and HELLP syndrome.

(Marked out of 5.0)


/ 5

While being assessed she has a generalised tonic-clonic seizure. Describe your specific management of her seizure, including doses and endpoints.

(Marked out of 4.0)


/ 4

After the seizure terminates, her BP is 180/110 mmHg. Describe your key management priorities, being specific with therapies administered.

(Marked out of 8.0)


/ 8

Total Score: 0 / 26

Percentage: 0%