A 27-year-old patient at 34 weeks gestation presents to the emergency department with a severe headache, visual disturbances, and a blood pressure of 160/110 mmHg. On examination, you note hyperreflexia. Labs show liver enzymes twice the normal limit and a platelet count of 95,000/µL. What is the most likely diagnosis?
The combination of hypertension, headache, visual disturbances, hyperreflexia, elevated liver enzymes, and thrombocytopenia in a pregnant patient is consistent with HELLP syndrome, a severe form of preeclampsia. Preeclampsia alone is characterized by hypertension and proteinuria but without the additional abnormal labs seen in HELLP syndrome. Eclampsia involves seizures and is a progression of preeclampsia. Abruptio placenta presents with abdominal pain and bleeding but does not directly cause hypertension or abnormal labs.
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BCEN CEN
Gastrointestinal, Genitourinary, Gynecology, and Obstetrical
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