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 Best of Five 3.47

 

   

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BOF: 3.47

A 38-year-old primigravida presents to the obstetric unit with a history of vomiting and abdominal pain. She is in her 36th week of gestation and she is carrying twins.

She also complains of intense thirst and frequent passage of large volumes of urine. On examination there is epigastric tenderness but no other physical signs.

Investigations reveal:

Hb 11.5 g/dL

WBC 14 x 109/L

Neutrophils10 x 109/L

Platelets 160 x 109/L

AST 80 U/L

Bilirubin 60 mmol/L

Urea 8.8 mol/L

Creatinine150 mmol/L

Random Blood Glucose 5mmol/L

Abdominal ultrasound scan shows ascites

Which of the following features would help to differentiate the condition this patient has from the HELLP syndrome?

a)      Elevated bilirubin

b)      Elevated transaminases

c)      Elevated creatinine

d)      Leucocytosis

e)      Vomiting

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