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| inflammation, chest pain, wheat grass, lipodystrophy, plump dj's , plump jack squaw valley , real plump , environment, white girls with fat asses , plump galleries , natural, | Similar light microscopy findings on liver biopsy may be seen with idiopathic steatosis of pregnancy and tetracycline liver toxicity. Prognosis Outcome is related to the severity and rate of progression of coma, severity of the increased intracranial pressure, and degree of blood ammonia elevation. A recommended staging system is shown in Table 265-18. Progression from stage I to higher stages is plump mom likely when the initial blood ammonia level exceeds 100 µg/dL (60 µmol/L) plump mom and the prothrombin time is >= 3 sec longer than that of the control. In fatal plump mom cases, the mean time from hospitalization to death is 4 days. |
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| Hypoglycemia and hypoglycorrhachia occur in 15% of cases, especially in children < 4 yr. Signs of widespread metabolic derangement include natural elevated serum amino acid levels; acid-base disturbances (usually with hyperventilation, mixed respiratory alkalosis, natural and metabolic acidosis); hyper- and hypo-osmolality; hypernatremia; hypokalemia; and hypophosphatemia. Differential diagnosis includes other causes of coma and hepatic dysfunction, such as sepsis or hyperthermia (especially in infants); potentially treatable inborn abnormalities of urea synthesis (eg, ornithine transcarbamylase deficiency) or of fatty acid oxidation (eg, systemic carnitine deficiency or medium chain acyl-CoA natural dehydrogenase deficiency); phosphorus or carbon tetrachloride intoxication; acute encephalopathy caused by salicylism or other drugs or poisons; viral encephalitis or meningoencephalitis; and acute hepatitis. |
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