USMLE Forum Archives - USMLE Step 3 - pregnancy
pregnancy
zorawar - 07-25-09 12:56
A 28-year-old pregnant patient comes to the office for a routine physical examination. She is in her 18th week of pregnancy with no complaints. Examination and fetal ultrasound are normal. You notice that laboratory studies from 2 weeks ago show an alkaline phosphatase of 300 U/L. On more detailed questioning, the patient denies any symptoms consistent with gallstones or biliary disease. She coincidentally had an ultrasound of the right upper quadrant a few months ago for another reason, and it did not reveal any gallstones or biliary sludge. The most appropriate management at this time is
zorawar - 07-25-09 12:56
A 28-year-old pregnant patient comes to the office for a routine physical examination. She is in her 18th week of pregnancy with no complaints. Examination and fetal ultrasound are normal. You notice that laboratory studies from 2 weeks ago show an alkaline phosphatase of 300 U/L. On more detailed questioning, the patient denies any symptoms consistent with gallstones or biliary disease. She coincidentally had an ultrasound of the right upper quadrant a few months ago for another reason, and it did not reveal any gallstones or biliary sludge. The most appropriate management at this time is
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#44
Re: pregnancy babbu5508 - 09-30-10 15:57 My answer is: d.
tha patient is asymptomatic with an elevation of liver enzymes which could be a hepatitis of pregnancy which subsides later.
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