ACUTE FATTY LIVER OF fatty liver forage fish
postmenopause, hypospadias, fat bottom girls lyrics , plump belly , image gallery, plump , human, ultrasonographers, forage fish, surgeries, acute fatty liver of pregnancy , plump girl , plump girls galleries , plump humpers , endometriosis, surgery, immunizations, endometrium, plump jack squaw valley inn , girls with fat ass , calculators, st. louis missouri, 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 fatty liver problem such as intrahepatic cholestasis of pregnancy. Progressive hepatic failure then rapidly supervenes, with the development fatty liver of jaundice, generalized bleeding from coagulopathy, hypoglycemia, hepatic encephalopathy and renal failure. Such severe cases have an inexorable downhill course unless the fetus is delivered; even then, deterioration may continue for a fatty liver further 48 to 72 hours. Laboratory features include a moderately elevated aminotransferase, which is usually around 300 IU/L but may range from normal to 1,000 IU/L.
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ACUTE FATTY LIVER OF PREGNANCY Acute fatty liver of pregnancy is characterized by fatty infiltration of the liver. It may rapidly progress to hepatic failure and death. Acute fatty liver may be uncommon (1 in 13,328 deliveries), but is important, having a maternal mortality of 18% and fetal mortality of 23%. The etiology is unknown, but the microvesicular fat that accumulates in hepatocytes probably forage fish represents disordered intermediary fat metabolism, perhaps related to mitochondrial injury. Acute fatty liver of pregnancy almost invariably presents in the third forage fish trimester, forage fish with a peak frequency around 36-37 weeks gestation. Occasionally, it will become apparent only after delivery. There is an association with nulliparity, twin gestations, male fetus and pre-eclampsia or eclampsia.
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