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High ALP and increased sgot and sgpt
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1. Detailed History
• Itching (esp. palms/soles)?
• RUQ pain, nausea, vomiting?
• Headache, visual changes?
• Decreased fetal movements?
2. Physical Examination
• BP measurement
• Look for jaundice, edema
• Fundal height, fetal heart sounds
Next Steps
Test
Purpose
Urine protein
Rule out preeclampsia
CBC, Platelets, LDH
Evaluate for HELLP
Serum bile acids
Confirm intrahepatic cholestasis (ICP)
PT/INR, glucose, ammonia
Assess for AFLP or coagulopathy
Ultrasound abdomen
Rule out biliary obstruction or fatty liver
Health Tips
Better to consult Obstetrician
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Dr. Neha Vashisth
Obstetrician
12 yrs exp
Jaipur
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.