HELLP Syndrome: Difference between revisions

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== Characteristics/Clinical Presentation  ==
== Characteristics/Clinical Presentation  ==


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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  ==

Revision as of 16:45, 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. Harris Furdek from Bellarmine University's Pathophysiology of Complex Patient Problems project.

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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]

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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]

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Resources
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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. 1.0 1.1 1.2 PubMed Health website. HELLP syndrome. Available at http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001892. Accessed February 18, 2011.
  2. Haram, K. Svendsen, E. Abildgaard, U. The HELLP syndrome: Clinical issues and management. A Review. BMC Pregnancy Childbirth [serial online]. 2009; 9:8.
  3. 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.