AKT-3822

AKT-3822

A female patient who is 36 weeks pregnant is seen feeling generally unwell. She has been vomiting and is complaining of right upper quadrant pain. Her blood pressure is 144/94 and urinalysis shows 2+ protein. Urgent blood tests are as follows.

Full blood count (FBC):
Haemoglobin 103 g/L (115-160)
White cell count 10.9 ×109L (4-11)
Platelets 78 ×109L (150-400)

Renal function:
Serum sodium +140 mmol/L (135-146)
Serum potassium +4.4 mmol/L (3.5-5.0)
Urea 6.4 mmol/L (3-7)
Creatinine 86 µmol/L (79-118)

Liver function:
Bilirubin 38 µmol/L (0-18)
Alanine aminotransferase 158 U/L (5-40)
Serum alkaline phosphatase 280 U/L (35-100)
Serum amylase 60 U/L (<160)
Serum lactate dehydrogenase 620 U/L (95-195)

What is the most likely diagnosis?