Key idea: Most common causes of elevated AFP in a pregnant patient are under-estimation of gestational age, fetal demise, multiple gestations, ventral wall defects, neural tube defects and liver disease
Key idea: Next step in management of elevated AFP is ultrasound to assess gestational age, viability, number of pregnancies, and assess for defects
submitted by โseagull(1933)
Weird question. This is a follow-up - Why would you not have an ultrasound from the previous visit? Perhaps she needs a better doctor.