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T1 Age 4 15 31-year-old T2 Personal_background 16 21 white T3 History 22 51 primipara with twin pregnancy T4 Clinical_event 56 64 admitted E1 Clinical_event:T4 T5 Date 84 106 38th week of gestation E2 Date:T5 T6 Sign_symptom 112 135 elevated blood pressure E3 Sign_symptom:T6 T7 Lab_value 137 149 150/100 mmHg T8 Medication 168 194 antihypertensive treatment E4 Medication:T8 T9 Diagnostic_procedure 195 209 blood pressure E5 Diagnostic_procedure:T9 T10 Lab_value 214 220 120/80 R1 MODIFY Arg1:T10 Arg2:E5 R2 MODIFY Arg1:T7 Arg2:E3 T11 Diagnostic_procedure 226 273 laboratory variables, including plasma proteins E6 Diagnostic_procedure:T11 T12 Lab_value 280 323 within their respective reference intervals R4 MODIFY Arg1:T12 Arg2:E6 * OVERLAP E1 E2 E3 * OVERLAP E4 E5 E6 T13 Time 325 366 Few hours after admission to the hospital E7 Time:T13 T14 Sign_symptom 371 391 contractions started E8 Sign_symptom:T14 T15 Therapeutic_procedure 401 418 caesarean section E9 Therapeutic_procedure:T15 T16 Sign_symptom 444 483 vertex-transverse presentation of twins E10 Sign_symptom:T16 * OVERLAP E8 E9 E12 E7 E10 E11 T18 Sign_symptom 565 578 inconspicuous E12 Sign_symptom:T18 T19 Time 580 601 Four hours postpartum E13 Time:T19 T20 Sign_symptom 625 640 epigastric pain E14 Sign_symptom:T20 T21 Detailed_description 618 624 sudden R9 MODIFY Arg1:T21 Arg2:E14 T22 Subject 485 509 Liveborn female and male T17 Therapeutic_procedure 515 524 delivered E11 Therapeutic_procedure:T17 R6 MODIFY Arg1:T22 Arg2:E11 R10 SUB_PROCEDURE Arg1:E11 Arg2:E9 T23 Diagnostic_procedure 646 660 blood pressure E15 Diagnostic_procedure:T23 T24 Lab_value 669 676 190/130 R12 MODIFY Arg1:T24 Arg2:E15 T25 Sign_symptom 705 715 haemolysis E16 Sign_symptom:T25 T26 Sign_symptom 717 733 thrombocytopenia E17 Sign_symptom:T26 T28 Diagnostic_procedure 678 697 Laboratory findings E19 Diagnostic_procedure:T28 T29 Medication 816 834 magnesium sulphate E20 Medication:T29 T30 Administration 804 815 Intravenous R14 MODIFY Arg1:T30 Arg2:E20 T31 Diagnostic_procedure 853 873 Abdominal ultrasound E21 Diagnostic_procedure:T31 T32 Biological_structure 893 907 uterine cavity T33 Detailed_description 887 892 empty T34 Sign_symptom 916 932 placenta residue E22 Sign_symptom:T34 A1 POLARITY E22 NEG R15 MODIFY Arg1:T33 Arg2:T32 * OVERLAP E14 E15 E19 E16 E21 E17 E18 E40 E20 E22 E13 R16 MODIFY Arg1:E22 Arg2:T32 T35 Time 934 955 Five hours postpartum E23 Time:T35 T36 Clinical_event 973 984 transferred E24 Clinical_event:T36 T37 Nonbiological_location 992 1011 intensive care unit T38 Sign_symptom 1023 1040 poor urine output E25 Sign_symptom:T38 T39 Sign_symptom 1042 1052 drowsiness E26 Sign_symptom:T39 T40 Disease_disorder 1071 1074 DIC E27 Disease_disorder:T40 T41 Detailed_description 1058 1067 suspicion R17 MODIFY Arg1:T41 Arg2:E27 R20 MODIFY Arg1:T37 Arg2:E24 * OVERLAP E24 E25 E26 E27 E28 E29 E30 E34 E36 E39 E41 E42 E43 E44 E45 E23 T42 Diagnostic_procedure 1079 1090 examination E28 Diagnostic_procedure:T42 T43 Sign_symptom 1099 1105 sleepy E29 Sign_symptom:T43 T44 Sign_symptom 1110 1121 disoriented E30 Sign_symptom:T44 T45 Coreference 1142 1152 haemolysis E31 Coreference:T45 R21 IDENTICAL Arg1:E31 Arg2:E16 T46 Coreference 1154 1170 thrombocytopenia E32 Coreference:T46 R22 IDENTICAL Arg1:E32 Arg2:E17 T47 Coreference 1176 1198 elevated liver enzymes E33 Coreference:T47 T48 Disease_disorder 1211 1236 postpartum HELLP syndrome E34 Disease_disorder:T48 T49 Coreference 1253 1256 DIC E35 Coreference:T49 R24 IDENTICAL Arg1:E35 Arg2:E27 T50 Therapeutic_procedure 1274 1284 rehydrated E36 Therapeutic_procedure:T50 T53 Detailed_description 1326 1332 frozen T54 Detailed_description 1320 1325 fresh T52 Biological_structure 1341 1349 red cell T55 Therapeutic_procedure 1350 1361 transfusion E38 Therapeutic_procedure:T55 R27 MODIFY Arg1:T52 Arg2:E38 T56 Detailed_description 1363 1368 fresh T58 Therapeutic_procedure 1290 1299 treatment E39 Therapeutic_procedure:T58 T60 Coreference 1396 1412 antithrombin III E37 Coreference:T60 T27 Diagnostic_procedure 754 770 serum creatinine E18 Diagnostic_procedure:T27 T61 Diagnostic_procedure 775 792 aminotransferases E40 Diagnostic_procedure:T61 R23 SUB_PROCEDURE Arg1:E18 Arg2:E19 R34 SUB_PROCEDURE Arg1:E40 Arg2:E19 T62 Lab_value 742 750 increase R35 MODIFY Arg1:T62 Arg2:E18 R36 MODIFY Arg1:T62 Arg2:E40 R37 IDENTICAL Arg1:E33 Arg2:E40 T63 Diagnostic_procedure 1420 1430 serum urea E41 Diagnostic_procedure:T63 T64 Diagnostic_procedure 1432 1442 creatinine E42 Diagnostic_procedure:T64 T65 Lab_value 1415 1419 High R38 MODIFY Arg1:T65 Arg2:E41 R39 MODIFY Arg1:T65 Arg2:E42 T66 Detailed_description 1448 1458 persistent T67 Sign_symptom 1459 1465 anuria E43 Sign_symptom:T67 T68 Disease_disorder 1493 1506 renal failure E44 Disease_disorder:T68 T69 Detailed_description 1487 1492 acute R40 MODIFY Arg1:T66 Arg2:E43 R41 MODIFY Arg1:T69 Arg2:E44 T70 Dosage 1510 1519 high dose T71 Medication 1523 1533 furosemide E45 Medication:T71 R42 MODIFY Arg1:T70 Arg2:E45 T72 Therapeutic_procedure 1544 1561 increase diuresis E46 Therapeutic_procedure:T72 A2 POLARITY E46 NEG R43 CAUSE Arg1:E45 Arg2:E46 T73 Time 1563 1587 Sixteen hours postpartum E47 Time:T73 T74 Diagnostic_procedure 1592 1606 blood pressure E48 Diagnostic_procedure:T74 T75 Lab_value 1611 1616 60/40 T76 Diagnostic_procedure 1621 1638 oxygen saturation E49 Diagnostic_procedure:T76 T77 Lab_value 1639 1642 70% R44 BEFORE Arg1:E46 Arg2:E47 * OVERLAP E47 E48 E49 R45 MODIFY Arg1:T75 Arg2:E48 R46 MODIFY Arg1:T77 Arg2:E49 T78 Time 1644 1661 Few minutes later E50 Time:T78 R47 BEFORE Arg1:E49 Arg2:E50 T79 Disease_disorder 1684 1698 cardiac arrest E51 Disease_disorder:T79 T80 Detailed_description 1678 1683 acute R48 MODIFY Arg1:T80 Arg2:E51 T81 Therapeutic_procedure 1704 1717 resuscitation E52 Therapeutic_procedure:T81 * OVERLAP E50 E51 E52 E54 E55 E56 E57 E59 R5 BEFORE Arg1:E6 Arg2:E7 R7 BEFORE Arg1:E12 Arg2:E13 R11 BEFORE Arg1:E22 Arg2:E23 T82 Coreference 1727 1740 Resuscitation E53 Coreference:T82 R13 IDENTICAL Arg1:E53 Arg2:E52 T83 Sign_symptom 1761 1780 normal heart action E54 Sign_symptom:T83 T84 Detailed_description 1745 1755 successful R18 MODIFY Arg1:T84 Arg2:E53 T85 Diagnostic_procedure 1801 1815 blood pressure E55 Diagnostic_procedure:T85 T86 Lab_value 1824 1831 150/110 R19 MODIFY Arg1:T86 Arg2:E55 T87 Diagnostic_procedure 1837 1854 oxygen saturation E56 Diagnostic_procedure:T87 T88 Lab_value 1859 1862 90% T89 Diagnostic_procedure 1864 1883 Laboratory findings E57 Diagnostic_procedure:T89 T90 Lab_value 1889 1901 deteriorated T91 Coreference 1928 1941 renal failure E58 Coreference:T91 T92 Detailed_description 1922 1927 acute R49 MODIFY Arg1:T92 Arg2:E58 T93 Therapeutic_procedure 1976 1984 dialysis E59 Therapeutic_procedure:T93 T94 Detailed_description 1969 1975 urgent R50 MODIFY Arg1:T94 Arg2:E59 R51 MODIFY Arg1:T90 Arg2:E57 R52 MODIFY Arg1:T88 Arg2:E56 T95 Time 1986 2004 Following dialysis E60 Time:T95 T96 Sign_symptom 2022 2028 stable E61 Sign_symptom:T96 T97 Diagnostic_procedure 2030 2047 oxygen saturation E62 Diagnostic_procedure:T97 T98 Lab_value 2048 2051 98% R53 MODIFY Arg1:T98 Arg2:E62 R54 BEFORE Arg1:E59 Arg2:E60 * OVERLAP E60 E61 E62 T99 Time 2053 2076 Twenty hours postpartum E63 Time:T99 T100 Disease_disorder 2101 2123 cardiopulmonary arrest E64 Disease_disorder:T100 R55 BEFORE Arg1:E62 Arg2:E63 * OVERLAP E63 E64 E65 E66 T101 Therapeutic_procedure 2133 2155 resuscitation attempts E65 Therapeutic_procedure:T101 T102 Outcome 2172 2178 lethal E66 Outcome:T102 T103 Diagnostic_procedure 2278 2298 medico-legal autopsy E67 Diagnostic_procedure:T103 T104 Clinical_event 2303 2310 ordered E68 Clinical_event:T104 T105 Coreference 2201 2206 death E69 Coreference:T105 R56 IDENTICAL Arg1:E69 Arg2:E66 T106 Nonbiological_location 2223 2231 hospital R57 MODIFY Arg1:T106 Arg2:E69 T107 Time 2234 2274 short time after a surgical intervention E70 Time:T107 R58 BEFORE Arg1:E66 Arg2:E70 * OVERLAP E70 E67 E68 T108 Coreference 2315 2322 autopsy E71 Coreference:T108 R59 IDENTICAL Arg1:E71 Arg2:E67 T109 Sign_symptom 2332 2338 oedema E72 Sign_symptom:T109 T110 Biological_structure 2346 2351 brain T111 Biological_structure 2356 2361 lungs T112 Sign_symptom 2373 2383 dilatation E73 Sign_symptom:T112 T113 Biological_structure 2388 2412 ight and left ventricles R60 MODIFY Arg1:T110 Arg2:E72 R61 MODIFY Arg1:T111 Arg2:E72 R62 MODIFY Arg1:T113 Arg2:E73 T114 Sign_symptom 2414 2425 Hydrothorax E74 Sign_symptom:T114 T115 Sign_symptom 2436 2451 hydroperitoneum E75 Sign_symptom:T115 T116 Sign_symptom 2467 2483 hydropericardium E76 Sign_symptom:T116 T117 Lab_value 2427 2433 900 mL T118 Lab_value 2453 2460 2500 mL T119 Lab_value 2485 2491 200 mL T120 Sign_symptom 2573 2611 Petechial and suffusional haemorrhages E77 Sign_symptom:T120 T121 Biological_structure 2636 2642 pleura T122 Biological_structure 2644 2655 endocardium T123 Biological_structure 2664 2671 mucosae T124 Biological_structure 2679 2691 renal pelvis R63 MODIFY Arg1:T124 Arg2:T123 T125 Biological_structure 2697 2707 peritoneum T126 Biological_structure 2715 2736 small and large bowel R64 MODIFY Arg1:T126 Arg2:T125 R65 MODIFY Arg1:T121 Arg2:E77 R66 MODIFY Arg1:T122 Arg2:E77 R67 MODIFY Arg1:T123 Arg2:E77 R68 MODIFY Arg1:T125 Arg2:E77 T127 Diagnostic_procedure 2738 2747 Histology E78 Diagnostic_procedure:T127 T128 Detailed_description 2757 2767 periportal T129 Biological_structure 2768 2782 hepatocellular T130 Sign_symptom 2783 2791 necrosis E79 Sign_symptom:T130 T131 Detailed_description 2793 2802 bloodless T132 Biological_structure 2803 2812 glomeruli R69 MODIFY Arg1:T129 Arg2:E79 R70 MODIFY Arg1:T128 Arg2:E79 T133 Detailed_description 2818 2825 swollen T134 Detailed_description 2830 2840 vacuolated T135 Biological_structure 2841 2861 intracapillary cells R71 MODIFY Arg1:T133 Arg2:T135 R72 MODIFY Arg1:T134 Arg2:T135 R73 MODIFY Arg1:T131 Arg2:T132 T136 Sign_symptom 2793 2861 bloodless glomeruli with swollen and vacuolated intracapillary cells E80 Sign_symptom:T136 T137 Sign_symptom 2884 2896 haemorrhages E81 Sign_symptom:T137 T138 Detailed_description 2874 2883 confluent T139 Biological_structure 2900 2907 kidneys T140 Biological_structure 2909 2914 liver T141 Biological_structure 2920 2926 spleen R74 MODIFY Arg1:T138 Arg2:E81 R75 MODIFY Arg1:T139 Arg2:E81 R76 MODIFY Arg1:T140 Arg2:E81 R77 MODIFY Arg1:T141 Arg2:E81 T142 Outcome 2928 2933 Death E82 Outcome:T142 R78 IDENTICAL Arg1:E82 Arg2:E69 T143 Detailed_description 2952 2960 multiple T144 Disease_disorder 2961 2974 organ failure E83 Disease_disorder:T144 T145 Disease_disorder 2982 2985 DIC E84 Disease_disorder:T145 T146 Disease_disorder 3006 3020 HELLP syndrome E85 Disease_disorder:T146 R79 CAUSE Arg1:E85 Arg2:E84 R80 CAUSE Arg1:E84 Arg2:E83 R81 MODIFY Arg1:T143 Arg2:E83 R82 CAUSE Arg1:E83 Arg2:E82 T147 Therapeutic_procedure 2537 2554 caesarean section E86 Therapeutic_procedure:T147 T148 Sign_symptom 2559 2571 unremarkable E87 Sign_symptom:T148 A3 POLARITY E87 NEG R83 BEFORE Arg1:E68 Arg2:E71 * OVERLAP E71 E72 E73 E74 E75 E76 E86 E77 E78 E79 E80 E81 R84 MODIFY Arg1:T117 Arg2:E74 R85 MODIFY Arg1:T118 Arg2:E75 R86 MODIFY Arg1:T119 Arg2:E76 R87 MODIFY Arg1:E87 Arg2:E86 R88 BEFORE Arg1:E81 Arg2:E82 R3 BEFORE Arg1:E3 Arg2:E4 T149 Detailed_description 530 550 postoperative course R8 MODIFY Arg1:T149 Arg2:E12 T51 Therapeutic_procedure 1333 1339 plasma E88 Therapeutic_procedure:T51 R28 MODIFY Arg1:T53 Arg2:E88 R29 MODIFY Arg1:T54 Arg2:E88 R32 SUB_PROCEDURE Arg1:E38 Arg2:E39 R33 SUB_PROCEDURE Arg1:E88 Arg2:E39 T57 Therapeutic_procedure 1369 1378 platelets E89 Therapeutic_procedure:T57 R26 MODIFY Arg1:T56 Arg2:E89 R30 SUB_PROCEDURE Arg1:E89 Arg2:E39 T59 Therapeutic_procedure 1384 1394 kybernin P E90 Therapeutic_procedure:T59 R25 IDENTICAL Arg1:E37 Arg2:E90 R31 SUB_PROCEDURE Arg1:E90 Arg2:E39