8th July 2024

A 32-year-old female who is in the third trimester of pregnancy presents with a 4-day history of epigastric pain

A 32-year-old female who is in the third trimester of pregnancy presents with a 4-day history of epigastric pain, nausea and vomiting. Blood pressure was 170/90mmHg on admission, Urine Dipstick showed 2+ protein and was negative for blood.

Investigations show: Hb 77 g/L (115-165), WBC 9.4×10⁹/L (4-11), Neutrophil 5.1×10⁹/L (2-8), Platelet 90×10⁹/L (150-400), Na 138 mmol/L (135-145), K 4.9 mmol/L (3.5-5), Urea 10.4mmol/L (2.5-7.5), Creatinine 160 μmol/L (60-110), CRP 38 mg/L (<5). Bilirubin 35 μmol/L (<21), ALT 102 U/L (<41), ALP 120 U/L (30-130). Coagulation Screen: PT 14s (10-14), APTT 35s(24-37), Fibrinogen 1.6 g/L (1.5-4.5), D-dimer 820 ng/ml(<500).

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