Snapshot A 35-year-old G4P3 at 35 weeks gestation presents to the emergency room with nausea, vomiting, and right upper quadrant pain. She has a history of pre-eclampsia in her previous pregnancy. On physical exam, she is noted to be dry mucous membranes and mild periorbital edema. Her blood pressure is 180/90 mmHg. Laboratory testing shows elevated liver enzymes, increased lactate dehydrogenase, and decreased platelets. She is started on steroids, intravenous magnesium sulfate, and prepped for immediate delivery. Introduction Overview login to view 3 more bullets Associated conditions login to view 1 more bullet Epidemiology Incidence login to view 1 more bullet Demographics login to view 2 more bullets Risk factors login to view 3 more bullets ETIOLOGY Pathogenesis login to view 3 more bullets Presentation Symptoms login to view 6 more bullets Physical exam login to view 8 more bullets Studies Serum labs login to view 8 more bullets Differential Acute fatty liver of pregnancy login to view 2 more bullets Preeclampsia login to view 3 more bullets Treatment Medical login to view 19 more bullets Surgical login to view 4 more bullets Complications Maternal complications login to view 6 more bullets Neonatal complications login to view 3 more bullets Other complications login to view 1 more bullet Prognosis Most patients stabilize within 48 hours Maternal mortality 1-3%