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Pregnant Woman Has Itchy Palms, Soles - Let's Diagnose

dec3quiz.jpgA 38-year-old woman in her third trimester of pregnancy went to her obstetrician complaining of general pruritus, noting it was almost intolerable on the palms of her hands and soles of her feet. She just couldn’t stop scratching although no rash was visible. The itching was more severe in the evening. She was also fatigued more than usual and was experiencing some right upper quadrant pain.

Could it be polymorphic eruption of pregnancy? Atopic dermatitis? Cholestasis of pregnancy? Acute fatty liver of pregnancy?

Check out the differential we created in VisualDx.

The correct answer is...

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VisualDx is an award-winning diagnostic clinical decision support system that has become the standard electronic resource at more than half of U.S. medical schools and more than 1,500 hospitals and institutions nationwide.  VisualDx combines clinical search with the world's best medical image library, plus medical knowledge from experts to help with diagnosis, treatment, self-education, and patient communication. Expanding to provide diagnostic decision support across General Medicine, the new VisualDx brings increased speed and accuracy to the art of diagnosis. Learn more at