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HELLP does not occur in the second trimester. ITP is possible, queen fat bottom girls but given the presence of queen fat bottom girls two hepatitis viruses is it unlikely. The admitted amount of alcohol consumption is probably queen fat bottom girls insufficient to cause alcoholic hepatitis, but patients almost always underreport the amount of alcohol they drink. If alcohol was the cause, two possible mechanisms could be involved. There could be hypersplenism, or there could be bone marrow suppression due to the direct toxic effects of alcohol. However, if there was alcoholic hepatitis the ultrasound should have shown a fatty liver, and the patient should be jaundiced.
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