HELLP Syndrome: Difference between revisions
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<div class="noeditbox">Welcome to [[Pathophysiology of Complex Patient Problems|PT 635 Pathophysiology of Complex Patient Problems]] This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox"> | <div class="noeditbox">Welcome to [[Pathophysiology of Complex Patient Problems|PT 635 Pathophysiology of Complex Patient Problems]] This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div><div class="editorbox"> | ||
'''Original Editors '''- Carolyn S. | '''Original Editors '''- Carolyn S. Furdek [[Pathophysiology of Complex Patient Problems|from Bellarmine University's Pathophysiology of Complex Patient Problems project.]] | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
</div> | </div> | ||
== Definition/Description == | == Definition/Description == | ||
HELLP syndrome is an acronym for several life-threatening symptoms that occur together in a woman’s pregnancy. These symptoms are: H – [http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0003024 hemolysis], EL – elevated liver enzymes, and LP – low [http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004113 platelet count]. <ref name="PubMed">PubMed Health website. HELLP syndrome. Available at http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001892. Accessed February 18, 2011.</ref><sup></sup> | HELLP syndrome is an acronym for several life-threatening symptoms that occur together in a woman’s pregnancy. These symptoms are: H – [http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0003024 hemolysis], EL – elevated liver enzymes, and LP – low [http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004113 platelet count]. <ref name="PubMed">PubMed Health website. HELLP syndrome. Available at http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001892. Accessed February 18, 2011.</ref><sup></sup> | ||
== Prevalence == | == Prevalence == | ||
As of Nov 2010, HELLP syndrome occurred in 1-2 of every 1000 pregnancies and in 10-20% of women experiencing severe [http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001900 preeclampsia].<ref name="PubMed" /> | As of Nov 2010, HELLP syndrome occurred in 1-2 of every 1000 pregnancies and in 10-20% of women experiencing severe [http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001900 preeclampsia].<ref name="PubMed" /> | ||
== Characteristics/Clinical Presentation == | == Characteristics/Clinical Presentation == | ||
Clinical symptoms of HELLP include discomfort in the upper right quadrant of the abdomen, pain in the epigastric area, vomiting, and nausea.<ref name="Haram">Haram, K. Svendsen, E. Abildgaard, U. The HELLP syndrome: Clinical issues and management. A Review. BMC Pregnancy Childbirth [serial online]. 2009; 9:8.</ref> The abdominal discomfort can increase and decrease throughout the day.<ref name="Sibai">Sibai BM. Diagnosis, controversies, and management of the syndrome of hemolysis, elevated liver enzymes, and low platelet count. Obstetrics and Gynecology [serial online]. 2004;103:981–991.</ref> Patients can report extreme fatigue prior to presentation or ‘feeling unwell’.<ref name="Sibai" /><ref name="PubMed" /> Other symptoms include headache, fluid retention, excess weight gain, blurry vision, nosebleeds (or bleeding that does not stop easily), seizures/convulsions.<ref name="PubMed" /> | Clinical symptoms of HELLP include discomfort in the upper right quadrant of the abdomen, pain in the epigastric area, vomiting, and nausea.<ref name="Haram">Haram, K. Svendsen, E. Abildgaard, U. The HELLP syndrome: Clinical issues and management. A Review. BMC Pregnancy Childbirth [serial online]. 2009; 9:8.</ref> The abdominal discomfort can increase and decrease throughout the day.<ref name="Sibai">Sibai BM. Diagnosis, controversies, and management of the syndrome of hemolysis, elevated liver enzymes, and low platelet count. Obstetrics and Gynecology [serial online]. 2004;103:981–991.</ref> Patients can report extreme fatigue prior to presentation or ‘feeling unwell’.<ref name="Sibai" /><ref name="PubMed" /> Other symptoms include headache, fluid retention, excess weight gain, blurry vision, nosebleeds (or bleeding that does not stop easily), seizures/convulsions.<ref name="PubMed" /> | ||
== Associated Co-morbidities == | == Associated Co-morbidities == | ||
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== Medications == | == Medications == | ||
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== Diagnostic Tests/Lab Tests/Lab Values == | == Diagnostic Tests/Lab Tests/Lab Values == | ||
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== Etiology/Causes == | == Etiology/Causes == | ||
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== Systemic Involvement == | == Systemic Involvement == | ||
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== Case Reports/ Case Studies == | == Case Reports/ Case Studies == | ||
add links to case studies here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | add links to case studies here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | ||
== Resources <br> | == Resources <br> == | ||
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see tutorial on [[Adding PubMed Feed|Adding PubMed Feed]] | see tutorial on [[Adding PubMed Feed|Adding PubMed Feed]] | ||
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== References == | == References == | ||
see [[Adding References|adding references tutorial]]. | see [[Adding References|adding references tutorial]]. | ||
<references /> | <references /> | ||
[[Category:Bellarmine_Student_Project]] | [[Category:Bellarmine_Student_Project]] | ||
Revision as of 16:51, 19 February 2011
Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!
Original Editors - Carolyn S. Furdek from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description[edit | edit source]
HELLP syndrome is an acronym for several life-threatening symptoms that occur together in a woman’s pregnancy. These symptoms are: H – hemolysis, EL – elevated liver enzymes, and LP – low platelet count. [1]
Prevalence[edit | edit source]
As of Nov 2010, HELLP syndrome occurred in 1-2 of every 1000 pregnancies and in 10-20% of women experiencing severe preeclampsia.[1]
Characteristics/Clinical Presentation[edit | edit source]
Clinical symptoms of HELLP include discomfort in the upper right quadrant of the abdomen, pain in the epigastric area, vomiting, and nausea.[2] The abdominal discomfort can increase and decrease throughout the day.[3] Patients can report extreme fatigue prior to presentation or ‘feeling unwell’.[3][1] Other symptoms include headache, fluid retention, excess weight gain, blurry vision, nosebleeds (or bleeding that does not stop easily), seizures/convulsions.[1]
Associated Co-morbidities[edit | edit source]
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Medications[edit | edit source]
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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
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Etiology/Causes[edit | edit source]
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Systemic Involvement[edit | edit source]
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Medical Management (current best evidence)[edit | edit source]
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Physical Therapy Management (current best evidence)[edit | edit source]
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Alternative/Holistic Management (current best evidence)[edit | edit source]
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Differential Diagnosis[edit | edit source]
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Case Reports/ Case Studies[edit | edit source]
add links to case studies here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
add appropriate resources here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
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References[edit | edit source]
see adding references tutorial.
- ↑ 1.0 1.1 1.2 1.3 PubMed Health website. HELLP syndrome. Available at http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001892. Accessed February 18, 2011.
- ↑ Haram, K. Svendsen, E. Abildgaard, U. The HELLP syndrome: Clinical issues and management. A Review. BMC Pregnancy Childbirth [serial online]. 2009; 9:8.
- ↑ 3.0 3.1 Sibai BM. Diagnosis, controversies, and management of the syndrome of hemolysis, elevated liver enzymes, and low platelet count. Obstetrics and Gynecology [serial online]. 2004;103:981–991.
