Internal Medicine

0521779407-17 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:57

Postconcussion Syndrome Preeclamptic Liver Disease/HELLP 1199

■Drug intoxication or withdrawal excluded by history & toxicology

tests

management

■Reassure pt that symptoms resolve over weeks to months

■Many require no medical therapy

specific therapy

Indications

■Headache

Treatment Options

■Abortive agents

➣Acetaminophen

➣Aspirin

➣Ibuprofen

■Prophylactic agents

➣Anti-inflammatory agents (above)

➣Tricyclic antidepressants

Amitriptyline

Nortriptyline

Doxepin

follow-up

■Depends on severity of symptoms

complications and prognosis

■Most improve over weeks to months

PREECLAMPTIC LIVER DISEASE/HELLP

CAROLINE A. RIELY, MD

history & physical

History

■Third trimester, often primipara, or immediately post-partem

■Signs and symptoms of preeclampsia (hypertension, proteinuria,

headache, or none)

■Abdominal/right lower chest pain

■Common – 30% of severe preeclampsia