29 year old G2 .....

[achistikbenny]

A 29-year-old G2 P1001 in her third trimester presents to the clinic for a routine check up. You take her vitals and note that her blood pressure is elevated to 150/95. On interview, she complains about some mild RUQ pain that she has had for the last few days. You confirm this on physical exam and also take note of facial puffiness. A urine dipstick in the office shows 3+ proteinuria. What are the laboratory features of the particular syndrome this patient has likely developed?

A. Elevated BUN and elevated creatinine
B. Elevated fasting glucose level and elevated liver enzymes
C. Low platelet count and elevated liver enzymes
D. Low platelet count and elevated magnesium level
E. Low white blood cell count and elevated liver enzymes

[aungawa]

I think answer is C. Low platelet count and elevated liver enzymes

[drsue]

i think i'll go wiith A, cos the signs presented in the case points to pre-eclampsia. elevated BUN and creatinine

[khushboo]

its a pre eclamsia...hypertension, 3+ proteinuria, pitting edema...
preeclampsia is the condition that is most likely to develop in HELLP syndrome....i'll go for C Low platelet count and elevated liver enzymes

[Seetal]

shouldnt this be a step2ck question?

yes naturally with preeclampsia we think HELLP. but in step 1, answer should be A--> in adjunct with nephrOtic syndrome.

[ecgram]

i will go with C preeclampsia

HELLP syndrome hemolysis, elevated liver enzymes and low platelet count

[achistikbenny]

the ans is C. HELLPS Syndrome. this is step 1 question