prenancy can sometimes mimick liver failure because both are hyperestrogenemic state. one for incressed prodction and one descresed metabolism.
nausea and vomitting in third trimester is abnormal
UA for preclamsia and thrombocytopeinia in severe preclamsia
total bile acids should be ordered seperately of liver fucntion and is diagnostic of cholestatisi
MULTIPLE GESTATION - increased risk of almost everything but post term delivery
be carefl with fluid given becase can lead to oedema
Can also be hypermesisi gravidarum or HELLP as well as DD.
no biliary dilatation ⇒ case intrahepatic cholestasis
intra hepatic choletais can lead to feta demise
HELLP syndrome a compication of severe pre eclamsia
