Obstetric cholestasis Flashcards
1
Q
Blood test abnormalities in obstetric cholestasis
A
Raised LFTs
Raised bile acids >14mmol
2
Q
Management of obstetric cholestasis
A
Admission to hospital Weekly LFTs and bile acids Can prescribe ursodeoxycholic acid and menthol creams for itching Consider vitamin K if severe IOL from 37 weeks
3
Q
Differential diagnosis
A
Preeclampsia
Fatty liver disease of pregnancy
Not pregnancy related e.g viral hepatitis, autoimmune liver disease, primary biliary cirrhosis
4
Q
Presentation of obstetric cholestasis
A
Itchy palms and soles
No rash
