A 34-year-old woman at 30 weeks of gestation presents to the GP with severe right-sided rib pain radiating to the back. Her blood pressure is 136/88 m...

Question

A 34-year-old woman at 30 weeks of gestation presents to the GP with severe right-sided rib pain radiating to the back. Her blood pressure is 136/88 mmHg and she has 1+ proteinuria. Bloods show: normal FBC, normal renal function, but ALT 98 U/L. Bile acids are normal. She attributes the pain to the baby kicking. Which is the single most important concern to exclude?

Accepted Answer

Liver involvement from pre-eclampsia - hepatic capsule distension or subcapsular haematoma

Answer

Musculoskeletal rib pain

Answer

Costochondritis

Answer

Gallstones

Answer

Heartburn

uk-drcog MCQ (SBA): Right Rib Pain - Pre-eclampsia Liver Involvement