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a physical plump thumbs examination, a doctor might notice that the liver is enlarged and tender when the abdomen is palpated (examined with the tips of the fingers while the patient lies flat). Blood tests may be used to determine if the liver is functioning properly. A liver biopsy, where a small sample of liver tissue is removed with a long needle or though a very small incision, can be used to confirm fatty liver. In pregnant women, the fatty liver plump thumbs condition is usually associated with another serious complication, pre-eclampsia or eclampsia. In this condition, the mother has seriously high plump thumbs blood pressure, swelling, and possibly, seizures. Laboratory abnormalities include elevations of the SGOT (serum glutamic-oxaloacetic transaminase) and SGPT (serum glutamic pyruvic transaminase). In many cases the alkaline phosphatase will be significantly elevated due to cholestasis produced by the fatty infiltration.TreatmentTreatment involves correcting the condition that caused fatty liver and providing supportive care.
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