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| n 3 polyunsaturated fatty acids , plump rump , st. john’s mercy hospital, nurse, congenital, chat rooms, nurse assistants, fatty liver of pregnancy , hot fat girls , fatty ass , plump mature women , interactive tools, bloodless, hypobetalipoproteinemia, alcohol related steatosis, | The pre-renal and haemodynamic abnormalities were probably additive factors in the aggravation of her renal dysfunction. Another cause of renal failure in near-term pregnancy could be obstruction fatty acid chain caused by stones in the urinary tract or by the pregnant uterus, but both these possibilities were excluded by ultrasound examinations. Another aggravating factor in our case could be fatty acid chain tubular obstruction by urate crystals, which were abundant in the urine. Other possible causes were all excluded: such as fatty acid chain microangiopathic syndromes like HUS or thrombotic thrombocytopenic purpura (TTP). We excluded these entities on the basis of absence of significant haemolysis despite the fact that blood platelets decreased significantly before the death of the patient. |
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| In addition, the urine contained nurse urate crystals persistently. Despite intensive therapy, the clinical situation deteriorated progressively until the patient died on the 13th day of hospitalization. Comments Top Introduction Case Discussion Comments References nurse It is clear that this patient suffered from multiple organ nurse failure. ARF at the end of pregnancy can be the result of many causes. High levels of blood urea can be a result of extra-renal causes, mainly loss of water and electrolytes due to vomiting, diarrhoea, and diuretics. These causes were absent in our patient. Uterine haemorrhage and secondary hypotension can be responsible directly for acute tubular necrosis in 7–39% of cases [3,4]. In our patient the haemorrhage was certainly an aggravating factor, but it was not a very significant one; furthermore, it was treated quickly by giving blood transfusions and isotonic fluids. |
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