|
acute fatty liver of pregnancy diagnosis, drug induced fatty liver, epidemiology, replacement therapy, dress up fatty , plump wife , queen fat bottom girls , homocystinuria, fat girls pics , miss plump , women's & children's health center, st. john’s mercy medical center, child care,
|
In half of these patients, jaundice follows. Other cholestatic features include dark urine and, occasionally, pale stool. Otherwise women generally feel well, without nausea, vomiting or abdominal pain. Serum alkaline phosphatase and cholesterol rise, but aminotransferases are only modestly elevated. Ultrasound and cholangiography are normal. The evaluation of the pregnant woman with cholestasis involves excluding other causes of jaundice and pruritus including viral hepatitis, primary biliary cirrhosis and biliary tract disease by the appropriate laboratory merced and ultrasound investigations. Liver biopsy, which shows only cholestasis without inflammation, may be necessary in merced some merced atypical cases. Although a benign condition for the mother (other than the inexorable pruritus), intrahepatic cholestasis may decrease fetal survival and increase the risk of prematurity. Treatment is supportive with bile salt-binding agents such as cholestyramine. Ursodeoxycholic acid therapy improves bile formation, perhaps washing out "toxic" bile acids and pruritogenic agents.
|
