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Severe pre-eclampsia with HELLP features — RCPSC EM MCQ

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EasyOB/GYN emergenciesSevere pre-eclampsia with HELLP featuresRCPSC EM

A 31-year-old at 34 weeks' gestation presents with severe headache, visual scotomata and epigastric pain. BP is 172/112 on two readings, platelets are 78 x 10^9/L, AST is 156 U/L, and urine protein is positive. What is the most likely diagnosis?

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Correct answer: A — Severe pre-eclampsia with HELLP features

Severe hypertension with neurological symptoms, epigastric pain, thrombocytopenia and transaminitis indicates severe pre-eclampsia with HELLP features.

Reference: SOGC Guideline No. 414 pregnancy of unknown location and ectopic pregnancy