A 29-Year-Old Woman with Jaundice

AbstractMorning Report is a time-honored tradition in which physicians-in-training present cases to their colleagues and clinical experts to collaboratively explore a patient's presentation. The Morning Report section seeks to carry on this tradition by presenting a patient's chief concern and story, inviting the reader to develop a differential diagnosis and discover the diagnosis alongside the authors of this case. This report examines the story of a 29-year-old woman who presented to the emergency department with jaundice and oral mucosal bleeding, 2 days after delivering an infant at home at 36 weeks and 2 days of gestation. Using targeted questions, history-taking, physical examination, and diagnostic testing, an illness script emerges. As the case unfolds, the differential diagnosis is refined until a final diagnosis is reached.

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Publication Details

Journal
NEJM Evidence
Published
2025-06-24
DOI
https://doi.org/10.1056/evidmr2400410
Primary Topic
Pediatric Hepatobiliary Diseases and Treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

A 29-Year-Old Woman with Jaundice

Victoria Appleby, Nadia Eden
NEJM Evidence
Pediatric Hepatobiliary Diseases and Treatments
article

A 29-Year-Old Woman with Jaundice

Victoria Appleby, Nadia Eden
article en

Abstract

AbstractMorning Report is a time-honored tradition in which physicians-in-training present cases to their colleagues and clinical experts to collaboratively explore a patient's presentation. The Morning Report section seeks to carry on this tradition by presenting a patient's chief concern and story, inviting the reader to develop a differential diagnosis and discover the diagnosis alongside the authors of this case. This report examines the story of a 29-year-old woman who presented to the emergency department with jaundice and oral mucosal bleeding, 2 days after delivering an infant at home at 36 weeks and 2 days of gestation. Using targeted questions, history-taking, physical examination, and diagnostic testing, an illness script emerges. As the case unfolds, the differential diagnosis is refined until a final diagnosis is reached.

NEJM EvidenceVol. 4(7)
National Health Service (GB)
Gender equality
Openalex Percentile: Top 75%
Pediatric Hepatobiliary Diseases and Treatments
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