Gastrointestinal System

Step 1: View Clinicals

{"ops":[{"insert":"A 26-year old primigravid woman of 30 weeks gestation presents with worsening non-pruritic jaundice for one week. There is no associated abdominal pain, nausea, vomiting, or fever, and her antenatal period has otherwise been uneventful.\n\nHer medical history is unremarkable other than a few episodes of jaundice during her teens, all of which resolved spontaneously after a few days. These were not investigated at that time.\n\nShe neither smokes nor drinks. A hepatitis panel is negative for hepatitis A IgM antibodies, hepatitis B surface antigen, hepatitis B IgM core antibody, and hepatitis C antibodies.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-229_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Complete blood count
2. Liver function tests
3. Ultrasound abdomen
4. Urine coproporphyrins

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