Liver

Question 1

Structural changes to liver in preg

Answer 1

Increased blood flow
No change to size
Upward displacement of liver

Question 2

Physical findings in preg

Answer 2

Telangiectasia
Spider Marcia
Palmar erythema

Question 3

Biochemical changes in preg

Answer 3

Increased liver metabolism
Drop in serum albumin
Increase in fibrinogen, transferrin, thyroid-binding globulin and corticosterioid-binding globulin
Changes to liver chem
Increase cholesterol and triglyceride

Question 4

AFLP risk factors

Answer 4

Primigravida
Twin gestation
Male fetus
Fetus is homozygous/compound heterozygous fatty acid oxidation mutation

Question 5

Swansea criteria

Answer 5

Vomiting
Abdo pain
Polydipsia and polyuria
Encephalopathy

Raised bilirubin
Raised irate
Raised account
Raised alt and ast
Raised ammonia
Raised cr
Low glucose
Coagulopathy

Ascites or bright liver on USS
Microvesicular steatosis on liver biopsy