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dysmenorrhea, eulachon, plump tits , fattyliver disease hellp pregnancy, doctor, girls with fat asses , fatty sparing , central california, plump pics , discussion, fatty liver of pregnancy , children’s, omega 3 and omega 6 fatty acids , pregnancy complication, fat girls pictures , | Steatosis Management Delivery is critical and should be performed ASAP Delay may result in disease progression Avoid Hepatotoxins (e.g. pms certain general anesthetics) Treat concurrent Disseminated Intravascular Coagulation Correct coagulopathy with Blood Products Correct Hypoglycemia D10W infusion and Dextrose 50% boluses as needed Course pms Fulminant hepatic failure if untreated Disease usually remits after delivery Prognosis Maternal mortality: <10% (previously as high as 92%) Infant mortality: Previously as high as 50% References Castro (1999) Am J Obstet Gynecol 181:389-95 Search other websites for this topic Search National Library of Medicine PubMed for related articles Search Google for related images or topics pms Search MedPix for related images Advertisement. Please see the privacy statement regarding advertising on this page. |
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Gynecology Hematology and Oncology Hepatitis Inflammatory Bowel Disease Infectious Disease Laboratory General Malabsorption Neurology Neonatology Obstetrics Pancreas Pediatrics Pharmacology Prevention Procedure Psychiatry Peptic Ulcer Disease Radiology Rectum Rheumatology Spleen Stomach Surgery Symptom Evaluation Page Obstetrics Index Pharm Constipation Diarrhea Hepatitis Fat IBD PUD Dyspepsia See Also Steatohepatitis (Nonalcoholic Fatty Liver) Epidemiology Incidence: 1 eulachon in up to 7,000 pregnancies Pathophysiology Idiopathic condition eulachon Abnormal hepatic mitochondrial function Results in buildup of fat droplets in hepatocytes eulachon Symptoms: Onset in third trimester Vomiting (76%) Upper abdominal pain (43%) Anorexia (21%) Jaundice (16%) Signs See Acute Hepatic Failure Labs Liver Function Tests Serum Bilirubin increased, but <5 mg/dl Prothrombin Time (aPT and INR) increased Serum Transaminases (AST, ALT) <500 IU/L Contrast with much higher in Viral Hepatitis Platelet Count decreased mildly: 100,000 to 150,000 Contrast with lower in HELLP Syndrome Chemistry panel Serum Creatinine increased Hypoglycemia Radiology All imaging tests have high false positive rate Differential Diagnosis Pregnancy related conditions Severe Preeclampsia HELLP Syndrome Hepatitis Causes See Acute Liver Failure Hepatotoxin Viral Hepatitis |
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