Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This primiparous lady has presented with jaundice during the third trimester; this is an extremely concerning finding which mandates further evaluation.\n\nThe causes of jaundice in pregnancy can be broadly classified into conditions related to pregnancy, pre-existing conditions exacerbated by pregnancy, and conditions incidental to pregnancy.\n\nConsidering her gestational age, key pregnancy related conditions to consider include intrahepatic cholestasis of pregnancy (ICP) and acute fatty liver of pregnancy (AFLP); the history of hypertension makes preeclampsia and\/or HELLP syndrome an additional possibility.\n\nGallstone disease exacerbated by pregnancy is another consideration; in addition, viral hepatitis may occur in any trimester, and is by"}]}

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