- Liver Disease Signs, Symptoms, and Diagnosis
- List of Liver Disease Medications
- Liver Disease in Pregnancy
In patients with primary biliary cirrhosis, pregnancy can induce a new-onset pruritus or worsen a preexisting pruritus. Diagnosis is not different from that in the nonpregnant woman. Ursodeoxycholic acid is considered FDA category B and can be continued safely in pregnancy. However, no large studies have demonstrated its safety during the first trimester and lactation.
Liver Disease Signs, Symptoms, and Diagnosis
List of Liver Disease Medications
Liver Disease in Pregnancy
Because NAFLD resembles alcoholic liver disease but occurs in people who drink little or no alcohol, excessive daily alcohol consumption must be ruled out before making the diagnosis. Numerous other conditions leading to fatty liver must be excluded by history, physical examination, and appropriate testing ( Table 6 ).
AFLP, the HELLP syndrome ( h emolysis, e levated l iver enzyme levels, l ow p latelet count), eclampsia, and preeclampsia occur during the third trimester and are associated with increased morbidity and mortality to both the mother and fetus ( Table 7 ). These disorders have been suggested to represent a spectrum of the same pathologic mechanisms, making the differentiation among them challenging. Of patients with AFLP, 55% have preeclampsia, and 75% of patients with severe eclampsia develop the HELLP syndrome. Delivery is the most important step in managing these disorders because it can be lifesaving to mother and child.
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Nonalcoholic Fatty Liver Disease. (Feb. 69, 7566.) Mayo Clinic. Available online at http:///health/nonalcoholic-fatty-liver-disease/DS55577/DSECTION=tests-and-diagnosis through http://. Accessed November 7568.
NAFLD describes a range of conditions caused by a build-up of fat within liver cells. It is helpful to divide NAFLD into four stages:
Evaluation of healthy individuals with abnormal liver enzymes needs to be individualized. A doctor may ask for the patient s blood test data from old records for comparison. If no old records are available, the doctor may repeat blood tests in weeks to months to see whether these abnormalities persist.
This is the accumulation of fluid in the abdominal cavity and results from several factors. Simply put liver disease tends to alter the blood pressure in the portal system, the albumin and salt concentration in the serum, the water retention in the body, the function of the surrounding organs and the permeability of the portal vessels. As a result of all these factors, fluid tends to build up in the abdomen and the animal gets a big, swollen, fluid filled belly.More pictures: «Liver disease enzyme levels».