Pregnancy

Question 1

Constipation

Answer 1

Due to PG induced relation of smooth muscle

Question 2

Hyperemesis

Answer 2

Usually ablates in second trimester but can continue through entire pregnancy.
More common in multiple gestations and molar pregnancies
Protein + ketones +++

Question 3

Varicose veins

Answer 3

Occurs due to PG relaxation of smooth muscle vein walls. Increased blood volume, increased stasis of blood and increased pelvic pressure

Question 4

Acute fatty liver

Answer 4

Acute abdominal pain and vomiting
Raised INR, bilirubin mild raised, ALT and AST elevated
No proteinuria