Obstetrics & Gynecology

Last updated on: November 3rd, 2021

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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.

The CTG shows a FHR of 158 bpm with reduced variability, one acceleration and no decelerations. An ultrasound abdomen shows a viable fetus, and a grade I fatty liver. Her urine tests negative for protein.

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