Q:

A 39 year old woman in her 36th week of GA (gestational age) with acute abdominal pain is rushed for immediate delivery. Her report: BP 110/60mmHg, Hgb low, bilirubin 22, AST 35, Plt 60, APTT 60, PT 30, Fibrinogen 0.6. What is the cause?

waelhammad
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2022-11-03
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A 39 year old woman in her 36th week of GA (gestational age) with acute abdominal pain is rushed for immediate delivery. Her report: BP 110/60mmHg, Hgb low, bilirubin 22, AST 35, Plt 60, APTT 60, PT 30, Fibrinogen 0.6. What is the cause?

  1. Pregnancy induced hypertension
  2. DIC
  3. HELLP syndrome
  4. Acute fatty live
  5. Obstetric cholestasis
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waelhammad
2022-11-03
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The key is B. DIC. [It is not HELLP syndrome as liver enzyme is not elevated. Acute abdominal pain may indicate concealed abruption placenta which may lead to DIC].

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