Obstetrics & Gynaecology
HELLP Syndrome
Haemolysis + Elevated Liver enzymes + Low Platelets — variant of pre-eclampsia, magnesium sulphate, BP control, definitive delivery.
Source: RCOG; ACOG
Step 1 of ~4
info
Recognise
HELLP: Haemolysis (LDH ↑, schistocytes, low haptoglobin, raised bilirubin) + Elevated Liver enzymes (AST/ALT ≥70) + Low Platelets (<100). Often without classical pre-eclampsia features (BP may be normal or only mildly raised).
Symptoms: epigastric / RUQ pain, nausea, malaise, headache, visual change.
Mississippi classification by platelet count: I <50; II 50–100; III 100–150.
Differentials: AFLP, TTP/HUS (similar features but distinct treatment), viral hepatitis, cholestasis.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Magnesium Sulphate (Obstetric — Eclampsia/Neuroprotection) · Anticonvulsant / Neuroprotectant
- Magnesium Sulphate (IV — ICU/Anaesthesia) · Electrolyte / Anticonvulsant / Tocolytic
- Magnesium Sulphate · Electrolyte
- Magnesium Sulphate IV (Additional Indications) · Magnesium salt / bronchodilator / antiarrhythmic
- Magnesium Sulphate IV (Acute Asthma) · Bronchodilator / Smooth muscle relaxant
- Protamine Sulphate · Heparin Reversal Agent
Pathways
- Spinal Anaesthesia Hypotension Management · AAGBI; ASA
- Pre-Eclampsia / Eclampsia in ED · NICE NG133; RCOG Green-top 10A
- Suspected Ectopic Pregnancy · NICE NG126; RCOG Green-top 21
- Polycystic Ovary Syndrome (PCOS) · International PCOS Guideline 2023; NICE CKS
- Pre-eclampsia Management · NICE NG133 2019
- Ectopic Pregnancy · NICE CG154 / RCOG GTG 21
Decision support only. Always apply local guidelines and clinical judgement.