We present a patient with toxemia of pregnancy and the HELLP syndrome [hemolysis (H), elevated liver enzymes (EL), and a low platelet count (LP)] resulting in massive hepatic necrosis. [ncbi.nlm.nih.gov]

This book presents the facts as they are known today and, in areas where all the facts are not established, presents the well-founded opinions of those considered to be authorities. [books.google.de]

• Fever

  A 33-year-old previously healthy man had a 2-week history of fever, malaise, night FULL TEXT [annals.org]

  Yellow fever still occurs in people travelling to tropical regions without proper vaccination or rarely as a small outbreak due to vaccine adverse effect. [demosmedical.com]

  After his most recent discharge, he had been home for 5 days, and for 3 days had no fever, but had had fever and sweating for 2 days. He had been taking prednisone, 10 mg three times a day. [nap.edu]

  See in single cell hepatocellular necrosis. examples of damage to each zone Zone 1 - phosphorus Zone 2 - yellow fever Zone 3 - CCL4, ischemia Describe hepatic secondary intention secondary intention is scar formation Kupffer cells are acivated in the [quizlet.com]

  Infectious Disorders Viral hepatitis Miliary tuberculosis Malaria Staphylococcal bacteremia  2 0 to TSS Salmonellosis  typhoid fever Candida Parasitic & helminthic infection 78. [slideshare.net]

• Chills

  […] cholangitis (acute vs. chronic) Acute: gangrenous, empyema Chronic: repeated, indolent, low-grade inflammation and fibrosis; calculi present in 85% of cases Can have acute superimposed on chronic Primary sclerosing cholangitis Clinical presentation: chills [quizlet.com]

  Physical Examination: He appeared to be chronically ill, was slightly jaundiced, and was having a shaking chill. He had a maculopapular rash over his face. [nap.edu]

• Easy Bruising

  This was manifested by the loss of hair and easy bruising, poor healing, and bleed- ing from minor wounds, which she had allegedly had for 20 years. She had been on Diamox and Diuril. Physical Examination: She was obese, pale, and not jaundiced. [nap.edu]

• Chronic Cough

  Your recognised location is United States (US) Chronic cough in a child This article is freely available only to users in the UK. [evidence.nhs.uk]

  During this time, he was found to have a chronic cough, producing 2 to 3 oz of purulent sputum per day. [nap.edu]

• Pertussis

  […] delivery, and in the neonatal period Stay on the cutting edge of your field with new and improved chapters including: obstetric factors associated with infections of the fetus and newborn infant; human milk; borella infections; tuberculosis; bordetella pertussis [books.google.de]

• Abdominal Pain

  Case Report A healthy, 30-year-old woman at 32 weeks gestation presented to the emergency department with sudden-onset headache and abdominal pain. [acgcasereports.gi.org]

  However, on the seventh day, she complained of progressive abdominal pain, and showed hypotension and tachycardia. [casereports.in]

  The patient was not able to give an accu- rate history, but the history was obtained from a friend that he had had vague abdominal pain for 3 weeks. There was no history of gastroin- testinal bleeding or abdominal pain previously. [nap.edu]

  Hepatocellular Carcinoma Clinical features: upper abdominal pain or fullness malaise, fatigue, weight loss hepatomegaly with irregularity or nodularity Laboratory: increased tumor markers – serum AFP and serum CEA  not conclusive  false ( ) in non-neoplastic [slideshare.net]

  Abdominal pain. Hepatomegaly. Etiology: 50% have a myeloproliferative disease. [29] May be due to mass effect from a tumour. Clinical DDx: Hepatic veno-occlusive disease. Microscopic Features: [30] Sinusoidal dilation in zone III (congestion). [librepathology.org]

• Melena

  Massive melena due to acute gastric ulcers (six) and petechiae. 3. Hemorrhagic ascites, 300 cc. 4. Acute erosive esophagitis. 5. Aspiration of gastric contents. 6. Right pleural effusion, 300 cc. 7. Examination of brain not permitted. [nap.edu]

• Right Upper Quadrant Tenderness

  The liver was palpable two fingerbreadths below the costal margin and there was definite right upper quadrant tenderness. [nap.edu]

• Jaundice

  Cook GC, Sherlock S: Jaundice and its relation to therapeutic agents. Lancet 1:175, 1965 CrossRef Google Scholar Copyright information Hoeber Medical Division • Harper & Row, Publishers, Incorporated 1971 Authors and Affiliations Charles M. [link.springer.com]

  History of alcohol Preop. hepatic dis. and/or Jaundice Jaundice before death Case Anes. prac. [nap.edu]

  (mg/dL) Defect Age at onset of jaundice 64. [slideshare.net]

  782.4 gravis (see also Necrosis, liver) 570 malignant (see also Necrosis, liver) 570 pernicious (see also Necrosis, liver) 570 Inflammation, inflamed, inflammatory (with exudation) Jaundice (yellow) 782.4 malignant (see also Necrosis, liver) 570 Necrosis [icd9data.com]

  Incidence- 1%, jaundice within the first 4 weeks; repeated ingestion causes jaundice in 40% of cases. [quizlet.com]

• Fetor Hepaticus

  hepaticus - characteristic body odor that is variously described as "musty" or "sweet and sour" Palmar erythema (a reflection of local vasodilatation) and spider angiomas of the skin - Impaired estrogen metabolism and consequent hyperestrogenemia Functional [quizlet.com]

  Hepatic Failure Clinical Features: Jaundice Hypoalbuminemia  peripheral edema Hyperammonemia  cerebral dysfunction Fetor hepaticus  “musty” or “sweet & sour” body odor due to mercaptan formation by action of GI bacteria on methionine (sulfur-containing [slideshare.net]

• Purpura

  Postoperatively, he never improved re- markably, but continued to have thrombocytopenic purpura, gradually became weaker, and was treated with steroids, stilbestrol, thyroid, blood, and antibiotics. [nap.edu]

• Stupor

  Ritt DJ, Whelon G, Werner D: Acute hepatic necrosis with stupor and coma. Medicine 48:161–172, 1969 Google Scholar 3. Davis M, Peters R, Redeker A, et al: Appraisal of the mortality in acute fulminant viral hepatitis. [link.springer.com]

• Dark Urine

  She developed jaundice with dark urine and a tempera- ture of 103 F. The jaundice became deeper and in the last 3 days of life she was oliguric and the last day hypotensive. [nap.edu]

• Hypertriglyceridemia

  Enhanced cellular uptake of remnant high-density lipoprotein particles: a mechanism for high-density lipoprotein lowering in insulin resistance and hypertriglyceridemia. Circ Res. 2008;103:159-66. [187] Zou C, Shao J. [deutsche-apotheker-zeitung.de]

• Hyperglobulinemia

  Criteria for Diagnosis: liver biopsy or at least three of the following: Hyperglobulinemia, esp. with hypoalbuminemia Low protein ( 32. Bridging fibrous septae Nodules 34. [slideshare.net]

• Bordetella Pertussis

  pertussis and other bordetella sp infections; herpes simplex; toxoplasmosis; pneumocystis and other less common fungal infections; and healthcare-associated infections in the nursery Keep up with the most relevant topics in fetal/neonatal infectious [books.google.de]

• Hepatic Necrosis

  Hepatic necrosis after ethanol ablation for hepatocellular carcinoma (HCC), although rare, is well known and described, particularly in patients with chronic liver disease. [ncbi.nlm.nih.gov]

  Numerology Chaldean Numerology The numerical value of massive hepatic necrosis in Chaldean Numerology is: 7 Pythagorean Numerology The numerical value of massive hepatic necrosis in Pythagorean Numerology is: 9 Images & Illustrations of massive hepatic [definitions.net]

Recognition of the potentially severe consequences is important because early treatment with sulfhydryl compounds may prevent serious liver injury. [ncbi.nlm.nih.gov]

Form a definitive diagnosis and create the best treatment plans possible using evidence-based recommendations and expert guidance from world authorities. [books.google.de]

Without transplantation up to 80% die in specialist units approx 30% survive spur cells in peripheral blood indicate poor prognosis presence of jaundice for at least 1 wk prior to onset of encephalopathy associated with poor prognosis Following transplantation [aic.cuhk.edu.hk]

Current data indicate a poor prognosis if: An arterial pH 50 nmol/L) on or after day two following overdose (found in 70% of cases with a poor prognosis). [patient.info]

This does not usually predict prognosis, but only means that the tumor is longstanding. More discussions about necrosis [medical-dictionary.thefreedictionary.com]

The 1993 classification defines hyperacute as within 1 week, acute as 8–28 days, and subacute as 4–12 weeks. [1] It reflects the fact that the pace of disease evolution strongly influences prognosis. [en.wikipedia.org]

Early indicators of prognosis in fulminant hepatic failure. Gastroenterology. 1989 Aug;97(2):439-45. PubMed PMID: 2490426. Shah AD, Wood DM, Dargan PI. Understanding lactic acidosis in paracetamol (acetaminophen) poisoning. [lifeinthefastlane.com]

Although the etiology is difficult to prove, the clinical picture and time sequence indicated that the offending agent was: drug in 8; serum hepatitis in 11; infectious hepatitis in 11; and halothane in 3. [link.springer.com]

Etiologic Factors In a total number of 224 cases, etiology could be determined in 49 cases, including 8 pregnant females with HBsAg positivity. [diagnosticpathology.biomedcentral.com]

General Etiology: Echinococcus. Microscopic Features: Laminated wall /- calcification. [14] Organisms -- see Echinococcus. Images Liver cyst wall - intermed. mag. (WC) Liver cyst wall - high mag. [librepathology.org]

Epidemiology Frequency United States Cardiac cirrhosis rarely occurs in the United States. Its true prevalence is difficult to estimate, since the disease typically remains subclinical and undiagnosed. [emedicine.medscape.com]

Effect of dietary fiber and protein intake on blood pressure: a review of epidemiologic evidence. Clin Exp Hypertens. 1999;21:785-96. [77] Heaney RP, Layman DK. Amount and type of protein influences bone health. [deutsche-apotheker-zeitung.de]

General Epidemiology: Rare. Serology: [20] AMA ve. Anti-dsDNA ve. Microscopic See: autoimmune hepatitis and primary biliary cirrhosis. A. B. C. D. AIH/PBC overlap. [librepathology.org]

In addition, a history of hepatic disease was noted, as was any comment regarding epidemiologic factors as- sociated with toxic or viral hepatitis (e.g., occu- pational exposure to jaundiced persons, medica- tions taken before admission, and alcoholism [nap.edu]

"Intracranial hypertension in acute liver failure: pathophysiological basis of rational management". Seminars in Liver Disease. 23 (3): 271–82. doi : 10.1055/s-2003-42645. PMID 14523680. [en.wikipedia.org]

Pathophysiology Decompensated right ventricular or biventricular heart failure causes transmission of elevated right atrial pressure to the liver via the inferior vena cava and hepatic veins. [emedicine.medscape.com]

Ammonia currently thought to be the main pathophysiological agent Other possible aetiological mechanisms include the presence of benzodiazepine agonists (hepatic coma can be reversed temporarily by flumazenil) and altered GABA status Clinical features [aic.cuhk.edu.hk]

Panis Y, McMullan DM, Emond JC: Progressive necrosis after hepatectomy and the pathophysiology of liver failure after massive reduction. Surgery 1997;121:142–149. [karger.com]

Pathophysiology After taken orally, paracetamol is well absorbed from the stomach and small intestine. It reaches a peak plasma concentration in one hour but this may be 30 minutes if taken in liquid or rapidly absorbed form. [patient.info]

Recognition of the potentially severe consequences is important because early treatment with sulfhydryl compounds may prevent serious liver injury. [ncbi.nlm.nih.gov]

Special attention is given to the prevention and treatment of these diseases found in developing countries as well as the latest findings about new antimicrobial agents, gram-negative infections and their management, and recommendations for immunization [books.google.de]

Prevention with specific hepatitis B immune serum globulin. J. Amer. Med. Ass. 218 (1971) 1655–1970. Google Scholar 9. Lander, J. J., Giles, J. P., Purcell, R. H. and Krugman, S. Viral hepatitis type B (MS-2 strain). [link.springer.com]

Dietary approaches to prevent and treat hypertension: a scientific statement from the American Heart Association. [deutsche-apotheker-zeitung.de]