ipl-logo

Hellp Syndrome

1539 Words7 Pages

Investigation of Preeclampsia
And Hellp syndrome

Student name: Amer Binessa.
Student number: D13123451
Subject: Biochemistry
Lecturer: Dr Frank Clake
Date:01/11/2016

Clinical information
A 35 years old female presented at the national maternity hospital (NMH) at week 12 gestation for liver function test (LFTs). According to the NMH reference ranges the patient had normal LFTs (1). The expected date of the delivery was 15/10/2016. In the week 37+2 gestation the woman felt pain and called the community midwife office they took her immediately to the delivery ward in NMH and they found that she has a high blood pressure 142/90, high urate and proteinuria which indicate preeclampsia disease. Preeclampsia is a condition where the pregnant woman has high blood pressure and proteinuria (2). The patient case becomes worse because she developed HELLP syndrome after the delivery of the baby. In order to confirm the preeclampsia multiple tests were carried out.

Patient History
No previous history

Results: Table1: This table shows the results of patient tests
Date and Time Test Result Reference Range
19/04/2016
12:08

Week12 gestation Albumin
AST
ALT
Alkaline phosphatase
Bilirubin Total 36 g/l
21 IU/I
10 IU/I …show more content…

bilirubin test is used to test bilirubin in the liver. Bilirubin is divided into direct(conjugated) and indirect bilirubin(unconjugated). Direct bilirubin is produced by the liver when the sugars bind to the bilirubin then it goes to the bile and conjugated and then to the small intestine and excreted by the stool. Indirect bilirubin is where the heme is liberated from the breakdown of hemoglobin which then is unconjugated and it goes to the liver by the protein and some of it can be seen in the blood. Total bilirubin = conjugated + unconjugated. Bilirubin yellow is changed to biliverdin green by the oxidation of ferrycianide at 480/600 nm

Show More
Related

  • Interpreting Case Study: Therapeutic Observation

    1208 Words  | 5 Pages

    He does have a slight elevation in his total bilirubin is 0.3. Other liver function testing is normal. He has previously had a liver ultrasound back in October of 2014, showing hepatic steatosis, otherwise negative abdominal ultrasound. He has previously has declined evaluation by gastroenterology or hematology and he is still not sure that he wants to do that. He is not having any belly pain.

    Read More

  • Merigan Sanders Case Study Essay

    552 Words  | 3 Pages

    The mother was on a normal diet, but she did drink caffeine will pregnant. She took a low dose of Tylenol, and Peto bismol but she did not drink use alcohol and did not use any recreational drugs (M. Sanders, personal communication, January 30,

    Read More

  • Acutely Ill Adult Case Study

    688 Words  | 3 Pages

    While waiting for BNP test result mrs.Smith is referred to medical team for further investigation when the medical registrar came to review mrs . Smith BNP result arrived and which was normal, 75 pg/mL. Medical registrar examined mrs.Smith and adviced to give a stat dose of iv Augmentin 1.2 gm because of the elevated CRP. Confirmed with mrs.Smith that she is not allergic with any medication. Doctor adviced to

    Read More

  • Prenatal Breakdown Summary

    653 Words  | 3 Pages

    As a result many couples were given the diagnosis only at birth. But under a new recommendation from the American College of Obstetricians

    Read More

  • Deborah Olar's Argumentative Essay

    1255 Words  | 6 Pages

    Deborah Olar, my oldest sister, was pregnant with a girl and diagnosed with mild preeclampsia. Preeclampsia is when the mother’s blood pressure increases and when there’s an increase of protein in the urine. Also, where your kidneys start to fail slowly. Also, where as she did, gain 5 pounds in only water every week.

    Read More

  • Unknown Lab Report Essay

    408 Words  | 2 Pages

    so it was negative. My result was colorless for the Voges Proskauer (VP) test so it was negative. The Gelatin (GEL) test result had no diffusion of pigment so that showed it was negative. The Glucose (GLU) result was yellow so it was positive, and the Mannitol (MAN) result was blue-green so it was negative. The Inositol (INO), Sorbitol (SOR), Rhamnose (RHA), and Sucrose (SAC) test results were all blue-green so they were all negative, as well as the Amygdalin (AMY) test.

    Read More

  • Pcos92 Case Study

    594 Words  | 3 Pages

    RCOG GUIDELINES ON PCOS92 PCOS should be diagnosed according to the Rotterdam consensus criteria. Women diagnosed with PCOS should be informed of the possible long-term risks to health that are associated with their condition by their healthcare professional. Clinicians may consider offering screening for gestational diabetes to women who have been diagnosed as having PCOS before pregnancy. This should be performed at 24–28 weeks of gestation, with referral to a specialist obstetric diabetic service if abnormalities are detected.

    Read More

  • Fetal Alcohol Syndrome (FAS)

    1816 Words  | 8 Pages

    In current years the public has been made aware of a syndrome called Fetal Alcohol Syndrome. The syndrome has been publicized for many reasons including the fact that it is a completely avoidable syndrome based on the pregnant mother’s behaviors. The syndrome causes disabilities for the children, and is a life-long syndrome that cannot be reversed once it is achieved. In a report, Substance Abuse and the American Woman, sent out by the Center on Addiction and Substance Abuse, at least one of every five pregnant women uses alcohol and/or other drugs during pregnancy (NOFAS).

    Read More

  • Nt1310 Unit 1 Exercise 2

    402 Words  | 2 Pages

    However this test has a low sensitivity where some individuals with low result would be considered to be deficient but show no clinical evidence of deficiency and conversely symptoms of deficiency can be seem when the result does not fall into the low range. There is a large ‘grey zone’ or ‘indeterminate range’ between normal and abnormal levels. In order to detect vitamin B12 deficiency, a more sensitive and specific screening test is required. Haptocorrin (HC) and transcobalamin (TC) are transport proteins for vitamin B12 . Transport of vitamin B12 to the tissues is brought about by TC.

    Read More

  • Cowden Syndrome Research Paper

    426 Words  | 2 Pages

    Cowden syndrome is a disease that increases the risk of getting multiple different types of cancers. It is passed down through heredity and can be life threatening. Cowden syndrome can be treated by decreasing symptoms and living a healthy lifestyle. People with this disorder should be tested more often and possibly take medication to reduce symptoms. It is a negative mutation because it decreases the chance of an organism’s survival.

    Read More

  • PICOT Analysis Paper

    1640 Words  | 7 Pages

    A vital part of the nursing profession is nursing research. Clinical questions for specific patient problems are identified so that healthcare providers can find clinically relevant information using Internet search engines and databases (Higgins & Green, 2009). The main principle of nursing research is to produce new knowledge. The primary function of evidence based practice is to make evaluations about patient care built around the most current and best evidence that was collected by a systematic problem solving method. This paper will discuss hypothyroidism in pregnant women, and the risk fact of miscarriage during the first trimester of pregnancy.

    Read More

  • Nursing Case Study Essay

    1118 Words  | 5 Pages

    Najla Morshidi NURS 301 Case Study Health History and Analysis of Finding A 75 year old female patient alert and oriented X 3, weigh 115 Lbs, her height 5?8?? , has a hearing aid and wear glasses for reading. The presented Patient has a history of hypertension diagnosed with CHF on 2013, positive for Hepatitis B due to contaminated blood transfusion. Had a cervical dysplasia on 1994 resolved by a total abdominal hysterectomy and bilateral oophorectomy the following year.

    Read More

  • Sample Essay On Preeclampsia

    1216 Words  | 5 Pages

    PRE-ECLAMPSIA Description Preeclampsia is a condition that occurs only during pregnancy. Some symptoms of preeclampsia may include high blood pressure and protein in the urine, occurring after week 20 of pregnancy. Preeclampsia is often precluded by gestational hypertension. While high blood pressure during pregnancy does not necessarily indicate preeclampsia, it may be a sign of another problem. Pre-eclampsia is one of the most common cause of maternal and perinatal morbidity and mortality.

    Read More

  • Essay On Pre Eclampsia

    1287 Words  | 6 Pages

    Introduction Pre-eclampsia, a disease characterized by widespread maternal endothelial dysfunction, hypertension, and proteinuria, is a leading contributor of maternal and fetal morbidity and mortality in the world. This pregnancy-specific disease is complicating about two to eight percent of pregnancies. Therefore, it is important to identify women at risk of developing pre-eclampsia in order to reduce complications and to develop possible treatment modalities. 1,2,3 Preeclampsia has a complex pathophysiology, the main cause including infarcts, atherosis, thrombosis, and chronic inflammation. In recent studies, it is known that angiogenic factors have a significant role in the pathogenesis of pre-eclampsia.

    Read More

  • Thalassemia Case Study

    3218 Words  | 13 Pages

    Based on this fact, the primary screening method for all forms of thalassemia relies on red blood cell parameters index cut-offs, which involves an accurate blood count using an electronic blood cell counter. A commonly used approach consisted of a complete blood count to assess the MCV and the MCH (Metcalfe, 2007). The finding of a normal MCV (80fL) in combination with a normal MCH (27pg) would rule out most cases of thalassemia and would require no additional thalassemia testing. Individuals with MCV of less than 80fl and MCH of less than 27pg should be examined further to confirm or exclude the diagnosis of both alpha and beta-thalassemia (The Thalassemia Working Party of the BCSH General Haematology Task Force, 1994; A Working Party of the General Haematology Task Force of the British Committee for Standards in Haematology, 1998). Some screening programs rely on the identification of low MCV alone in the absence of iron deficiency (Ronald, 2006; Ashraf, 2004).

    Read More

More about Hellp Syndrome

Open Document