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| dangerous pregnancy, plump granny , fat girls xxx , fatty fatty two by four , hepatitis c, enuresis, oncology, hysterectomy, fatty fat fat , postpartum, plump sex , alcoholic complications, calculators, plump asian , charity, stockton, | times normal after the fifth week. Alkaline coconut fatty acid phosphatase coconut fatty acid may remain elevated coconut fatty acid for up to six weeks after delivery. There is an increase in serum globulin, total cholesterol and triglyceride. Liver diseases occurring during pregnancy can be divided into three categories: (1) acute liver disease coincident with pregnancy; (2) pregnancy occurring in a patient with established chronic liver disease; and (3) liver diseases unique to pregnancy. 17.2 Acute Liver Disease Coincident with Pregnancy page 552 Any liver disease that can afflict young women may arise during pregnancy. Of these, viral hepatitis is the most common cause of jaundice in pregnancy. Pregnancy does not affect the course of viral hepatitis, except for hepatitis E, which occurs as epidemics in underdeveloped countries. |
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| The anatomic and physiologic changes that accompany pregnancy alter physical findings and liver biochemistries. Yet normal pregnancy does not significantly affect liver metabolism or function. postpartum Pregnancy does not change liver size. In postpartum the third trimester, the enlarging uterus displaces the liver superiorly and posteriorly. Therefore, a palpable liver suggests significant hepatomegaly and underlying liver disease. A small amount of peripheral edema is also common postpartum during pregnancy, as are some findings that usually connote chronic liver disease, such as spider angiomas and palmar erythema. These findings are signs of high circulating estrogen levels. Pregnancy does not alter the expected values for serum bilirubin, aminotransferases, g-glutamyl transpeptidase or 5'-nucleotidase, or the INR/prothrombin time. Dilution from the expanded plasma volume causes a 10 g/L fall in serum albumin and in total protein. Alkaline phosphatase, primarily of placental and skeletal origin, increases 1.5 |
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