Obstetrics & Gynecology

Last updated on: March 15th, 2024

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You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.



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A 24-year-old primipara in her 34th week of gestation presents with jaundice for 1 day, and nausea, vomiting and malaise for 4 days. She developed hypertension at 28 weeks, for which methyldopa was commenced. Her pregnancy was otherwise uneventful. CTG shows a FHR of 158 bpm with reduced variability, one acceleration and no decelerations. Ultrasound abdomen shows a viable fetus and a grade I fatty liver. Urine is negative for protein.

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