Known Preeclampsia Reports Severe in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1579

SMLE Question #1579

Obstetrics & Gynecology General Gynecology

Objective: OBJ-136

Last updated: February 2026
A 29-year-old primigravida at 33 weeks with known preeclampsia reports severe constant right upper quadrant and epigastric pain radiating to the back. She also has headache and mild nausea. The pain worsens with deep inspiration and is not related to meals. Examination shows right upper quadrant tenderness without guarding or rebound; Murphy sign is negative. What is the most likely cause of her pain?

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