Page 183 - Demo

Question 14A 29-year-old woman at 32 weeks gestation presents with sudden onset of severe headache, visual disturbances, and epigastric pain. Her blood pressure is 160/100 mmHg. What is the most likely diagnosis?%u2022Migraine%u2022Preeclampsia%u2022Gestational hypertension%u2022HELLP syndrome%u2022Acute fatty liver of pregnancyAnswer: HELLP syndromeExplanation: The presentation of severe headache, visual disturbances, epigastric pain, and hypertension in the third trimester is highly suggestive of HELLP syndrome. HELLP stands for Hemolysis, Elevated Liver enzymes, and Low Platelets. It'sconsidered a severe variant of preeclampsia. The epigastric pain is particularly characteristic of HELLP syndrome and suggests liver involvement. This condition requires immediate medical intervention to prevent serious complications for both mother and fetus.