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Gynaecology & Obstetrics Medical Illness Complicating Pregnancy 26979b55

A patient at 28 weeks pregnancy presents with low grade fever, malaise, vomiting since 1 week. On examination she is icteric, Her Hb is 10 gm%, bilirubin is 5 mg/dL, SGOT and SGPT at 630 and 600 with normal platelet count. Most probable cause of her jaundice is

A
IHCP
B
Viral hepatitis
C
Hyperemesis gravidarum
D
HELLP syndrome
High-Yield Explanation
Patient here has presented with prodrome of viral hepatitis. Investigations to diiferentiate various causes of jaundice in pregnancy are IHCP AFLP HELLP Viral hepatiis Bilirubin (mg/dL) 1-5, direct 2-10, direct <2 >5 SGOT/ SGPT <200 <1000 <500 500-3000 ALP Raised Normal Normal Normal/raised Platelets Normal low Low Normal Prothrombin time Normal Prolonged prolonged prolonged

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