Cholestasis of pregnancy Quiz: Ace Your Exams
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A 38-year-old G3P2 woman at 31 weeks gestation presents to her obstetrics PA for evaluation of intense pruritus. The patient reports itching primarily over her palms and soles and states that symptoms worsen at night. She has no abdominal pain, nausea, or vomiting. The patient has a history of idiopathic pancreatitis but does not take any daily medication. She has not been drinking alcohol since becoming pregnant and has no history of recreational drug use. Temperature is 37°C (98.6°F), blood pressure is 112/60 mmHg, pulse is 90/min, respiratory rate is 16/min, and oxygen saturation is 99% on room air. Physical examination demonstrates a gravid abdomen consistent with gestational age, without tenderness to palpation. There are excoriations over the palms and soles. Which of the following laboratory findings would be most indicative of the likely underlying condition?
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