Obstetric cholestasis

1st July 2011 by Louise Hudman

This is a good overview of the condition. Remember – it is a diagnosis of exclusion.

Features:

  • Pruritus without a rash (except excoriation). It is often worse at night and affects palms and soles too.
  • Cholestatic symptoms (pale stool / dark urine / jaundice)
  • Deranged LFT (transaminases / gamma-GT – bilirubin and bile acids may also be raised). Beware; LFT can take weeks to rise, so if the woman has persistent pruritus, measure LFT every 1 to 2 weeks.

Investigations:

  • To exclude other causes of liver disease – Hep ABC screening, EBV, CMV, Liver autoimmune screen, Coagulation screen

Join

Join to view the rest of this content, as well as access all the benefits of joining NASGP.

Join

Login

Already a member? Login to view this content.

Login

"LocumDeck does everything you want it to do in an instant and with audit trails.

I absolutely love the facility for receiving Locum's invoices and the facility for signing the Pension Forms electronically and they are then instantly sent with an audit trail! It is fabulous!

You are notified the moment a Locum GP adds availability which is just fantastic, I spend a lot of time just chasing agencies to see if they have availability, so to be notified the moment availability is advertised is a new concept and very welcome! I have no hesitation in recommending LocumDeck - it has already eased my workload!"

Sue, Practice Manager in Portsmouth

See the full list of features within our NASGP membership plans

Membership