A 31-year-old woman at 37 weeks of gestation presents to the GP with a 3-day history of worsening right upper quadrant pain, nausea, and malaise. Her ...

Question

A 31-year-old woman at 37 weeks of gestation presents to the GP with a 3-day history of worsening right upper quadrant pain, nausea, and malaise. Her blood pressure is 144/92 mmHg and urinalysis shows 2+ protein. Bloods taken urgently show: platelets 88 × 10⁹/L, ALT 312 U/L, and creatinine 110 µmol/L. What is the most likely diagnosis?

Accepted Answer

HELLP syndrome

Answer

Acute fatty liver of pregnancy

Answer

Obstetric cholestasis

Answer

Acute cholecystitis

Answer

Viral hepatitis

uk-drcog MCQ (SBA): HELLP Syndrome