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| midwife, children's miracle network, nurse assistants, women, fat bottom girls , plump rumps com , plump lesbians , events, audio interviews, bay area, fatty and skinny , metrorrhagia, amenorrhea, donations, bbw plump , uk, queen fat bottom girls , jaundice, volatile fatty acid , acute fatty liver of pregnancy diagnosis, nonalcoholic fatty liver , allergies, golden plump , plump porn , | Furthermore, the ALP is also usually elevated. Benign recurrent cholestasis of pregnancy is not in the differential, because this did not occur with the first pregnancy. Fatty liver of pregnancy and toxaemia of pregnancy do not occur in the second trimester. Question 7 - The correct answer is (c) - Back All plump dumpling of the above can plump dumpling cause a decrease in platelet count. However, the most common of these would be cirrhosis with splenomegaly and hypersplenism. plump dumpling |
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| Hepatic rupture is a consequence of hepatic infarction involving the capsule and is associated with severe manifestations of bleeding uk and uk shock. Question 5 - The correct answer is (d) - Back This magnitude of enzyme elevation has few causes. In the setting of pregnancy with toxaemia the diagnosis uk is hepatic infarction, unless a toxin can be incriminated. Hepatic rupture is a consequence of infarction, and must be considered in the differential, but it is not the primary diagnosis. Acute biliary obstruction can cause sudden sharp elevation of liver enzymes, but it is rare for these to exceed 1500 u/L. Fatty liver of pregnancy also causes elevated liver enzymes, but again it is rare for the enzymes to exceed 1200 u/L. Question 6 - The correct answer is (b) - Back The most likely diagnosis is viral hepatitis. The pattern of liver enzymes is not consistent with alcoholic hepatitis, in which the AST is usually higher than the ALT. |
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