Question

A 30-year-old pregnant woman (28 weeks) has pruritus and raised bile acids. What is the most likely diagnosis and initial management step?

Accepted Answer

Intrahepatic cholestasis of pregnancy; refer obstetrics and consider ursodeoxycholic acid

Answer

Acute fatty liver; start antibiotics

Answer

PUPPP; topical steroid only

Answer

Viral hepatitis; no referral

Answer

Normal pregnancy itch; reassure only

Practice question

A 30-year-old pregnant woman (28 weeks) has pruritus and raised bile acids. What is the most likely diagnosis and initial management step?