Obstetrics & gynaecology · UKMLA & AKT
HELLP syndrome
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise hellp syndrome — the full SA Note notes add investigations, management, complications and 10 practice questions.
Key high-yield points
- Severe manifestation of pre-eclampsia - Haemolysis, Elevated Liver enzymes, Low Platelets
- Complicates ~0.5-0.9% of all pregnancies; ~10-20% of severe pre-eclampsia cases
- Up to 30% of cases present postpartum (typically within 48 hours of delivery)
Hypertension and proteinuria may be absent or mild in up to 15-20% of HELLP cases at presentation - do not exclude HELLP based on their absence.
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