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| lyrics to bounce by fatty koo , white girls with fat asses , plump ebony , 'liver transplantation', omega 3 fatty acid supplements , pcos, plump nude women , liver, plump rump , penn state university, myelogram, oxford university, radiothon, plump black , plump movies , clinical information, big n plump , fat girls , child care, dysmenorrhea, eulachon, plump tits , fattyliver disease hellp pregnancy, doctor, | Alkaline phosphatase and serum bilirubin are elevated. Liver biopsy reveals tiny droplets of fat (microvesicular fat) inside hepatocytes. Diagnosis requires a high degree of suspicion, as the presentation is often nonspecific. Acute fatty liver of pregnancy should be considered whenever marked nausea and vomiting develop in the third trimester of pregnancy. Suspicion increases with palo alto a twin pregnancy, nulliparity or signs of toxemia. Ultrasound or CT scans may detect the increased fat in the liver and help exclude complications such as a subcapsular hematoma or another entity such as palo alto choledocholithiasis. |
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| Presentation can vary from nonspecific symptoms to fulminant hepatic failure. Nausea and vomiting with or without abdominal pain are common. Examination may reveal a tender liver. Pruritus is uncommon and would suggest the possibility of a different liver problem such as intrahepatic cholestasis of pregnancy. Progressive hepatic failure then rapidly supervenes, with the development of jaundice, generalized bleeding from coagulopathy, plump tits hypoglycemia, hepatic encephalopathy and renal failure. Such severe cases have an plump tits inexorable downhill course unless the fetus is delivered; even then, deterioration may continue for a further 48 to 72 hours. Laboratory features include a moderately elevated plump tits aminotransferase, which is usually around 300 IU/L but may range from normal to 1,000 IU/L. |
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