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| healthy, ozuakee, young fat girls , pleasingly plump , nys department of health, engineering, plump tgp , hey fatty boom boom , fatresistance diet, thermogenics, | Alanine Aminotransferase Elevation During Pregnancy FIGURE 2. Algorithm fatty post for the evaluation of alanine aminotransferase elevation during pregnancy. (HBsAg=hepatitis B surface antigen; ALT=alanine aminotransferase; RUQ=right upper quadrant; DIC=disseminated intravascular coagulopathy; HELLP=hemolysis, elevated liver enzymes, low platelets) Pregnancy and Hepatitis Acute Viral Hepatitis Viral hepatitis is the most common cause of jaundice in pregnancy.4 The course of most viral hepatitis infections (e.g., hepatitis A, B, C and D) is unaltered by pregnancy.6,7 However, a more severe course of viral hepatitis in pregnancy has been noted in fatty post patients with hepatitis fatty post E and disseminated herpes simplex virus (HSV) infections.2,6,8-11 Hepatitis E is a waterborne virus spread through fecal-oral transmission. |
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| Liver cell injury or necrosis is measured by determining aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels, while liver synthetic function (depressed in cirrhosis or severe acute liver disease) is quantified by determining albumin level and prothrombin time. Cholestasis and biliary obstruction are evaluated by measuring alkaline phosphatase, bilirubin, 5'-nucleotidase or gamma glutamyl transpeptidase levels1 (Figure 1). In normal pregnancies, engineering alkaline phosphatase levels may be elevated three- to fourfold, secondary to placental alkaline phosphatase engineering levels.2-5 Elevations of ALT occurring during pregnancy can be evaluated using a diagnostic algorithm engineering (Figure 2). Elevated ALT is frequently the result of viral hepatitis, which can be easily diagnosed using serologic tests. Other possible etiologies of mild or moderate elevations of ALT are drug-induced hepatotoxicity, hyperemesis gravidarum, cholelithiasis, HELLP (hemolysis, elevated liver enzymes and low platelet count) syndrome or acute fatty liver of pregnancy. |
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