Important cause of painless jaundice in pregnancy! - USMLE Forums
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Old 08-08-2011
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ObGyn Important cause of painless jaundice in pregnancy!

What is the most important cause of painless jaundice in pregnancy??
a.. cholestasis
b.. cholecystitis
c.. viral hepatitis
d.. fatty liver
e.. hyperemesis gravidarum
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Old 08-08-2011
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a) cholestasis

cholecystitis is painful, viral hepatitis has no special incidence rates in pregnants, fatty liver is very very rare and highly symptomatic and hyperemesis gravidarum does not cause jaundice, its just more nausea and vomiting.
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Old 08-08-2011
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Cholestasis ofcourse..
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Old 08-08-2011
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Cholestasis, because of the hormonal changes.
Viral hepatitis....Hep E can be in pregnancy, but surely not the most common cause I think.

Just fat in the liver wont cause jaundice. Hyperemesis doesnt cause jaundice, other causes will be painful...
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Quote:
Originally Posted by podebrad View Post
Just fat in the liver wont cause jaundice. Hyperemesis doesnt cause jaundice, other causes will be painful...
fat in the liver won't cause jaundice but remember acute fatty liver of pregnancy! liver fully "engorged" with fat! absolutely fatal condition and it manifests with jaundice as well.
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Old 08-08-2011
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Quote:
Originally Posted by cool_atomic View Post
fat in the liver won't cause jaundice but remember acute fatty liver of pregnancy! liver fully "engorged" with fat! absolutely fatal condition and it manifests with jaundice as well.
Yes..u r right...Thanks!!!
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Old 08-08-2011
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a) cholestasis

It's common due to high Progestron levels in pregnancy leading to relaxation of smooth muscles in the liver and gallbladder ducts.., it causes jaundice and it's not painful..

cholcystitis and viral hepatitis causes jaundice and are painful but not very common in pregnant women.

fatty live is not common in women.

hyperemesis gravidarum don't usually cause jaundice..
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Quote:
Originally Posted by A.D.A.M View Post
a) cholestasis

It's common due to high Progestron levels in pregnancy leading to relaxation of smooth muscles in the liver and gallbladder ducts.., it causes jaundice and it's not painful..

cholcystitis and viral hepatitis causes jaundice and are painful but not very common in pregnant women.

fatty live is not common in women.

hyperemesis gravidarum don't usually cause jaundice..
is viral hepatitis painful? I don't remember that......i know for sure that it causes upper abdominal discomfort, but pain..................
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