Itchy hands and feet at 33 weeks

Instructions

You are a medical student on placement in general practice. Your next patient is Javiera Soto, 30, who is 33 weeks pregnant, presenting with very itchy hands and feet for two weeks.

1. 1

   Take a focused history

2. 2

   Outline to the examiner:

   • Relevant investigations
   • Your most likely diagnosis and differentials

• You do not need to examine the patient, discuss management or summarise your history
• The examiner will give you the results of any investigations you request
• The examiner will ask you questions at the end.