A 34-year-old woman who is 28 weeks pregnant presents with severe headache, visual disturbances, and right upper quadrant pain. Laboratory studies show platelet count 45,000/μL, Hgb 9.5 g/dL, and creatinine 2.1 mg/dL. Peripheral blood smear shows schistocytes. PT, aPTT, and fibrinogen are normal. Which of the following is the most likely diagnosis?

  1. A)HELLP syndromeGABARITO
  2. B)Thrombotic thrombocytopenic purpura
  3. C)Immune thrombocytopenia
  4. D)Hemolytic uremic syndrome
  5. E)Disseminated intravascular coagulation

Explicação

HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) occurs in pregnancy, presenting with thrombocytopenia, microangiopathic hemolytic anemia (schistocytes), and renal dysfunction. Coagulation studies are normal, distinguishing it from DIC. Ver explicação completa e trilha adaptativa →

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