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HardAntenatal Care & ComplicationsThird-Trimester Liver Disease - Ultrasound Differentiationuk-drcog
A 29-year-old woman, gravida 1, at 32 weeks of gestation presents to the GP with a 48-hour history of constant right upper quadrant pain, nausea, and vomiting. Her blood pressure is 134/86 mmHg. Urinalysis shows trace protein. Bloods reveal: platelets 210 × 10⁹/L, ALT 320 U/L, AST 290 U/L, bilirubin 18 µmol/L, ALP 280 U/L, and glucose 3.0 mmol/L. Bile acids are normal. Which investigation is most helpful in differentiating the likely diagnoses?