- >20 weeks pregnancy with RUQ/epigastric pain, HTN
- Elevated AST/ALT, Low Platelets on CBC/COMP - should trigger diagnosis
- reflex order smear, OB consultation, Heme/Onc consultation
- Fear the Glucose - often neglected portion of HELLP syndrome since it didn't make the cut for the acronym.
- Don’t forget about other causes of abdominal pain, other heme syndromes
- Magnesium sulfate for treatment, Labetalol for blood pressure control, +/- Dexamethasone depending on fetal age