6 results
Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension.  Has
Diagnosis/differential ... No other intra-abdominal ... injury on CT scan ... Labeled Schematic ... FAST #Positive #trauma
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... nausea, vomiting, abdominal ... AP, ↑INR, ↑BUN/Cr ... infiltration) Differential ... Pregnancy #hepatology #obstetrics
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
Postpartum Hemorrhage ... - Differential ... Using external abdominal ... to gather POC Trauma ... #obstetrics #obgyn
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework

LDH is a cytoplasmic enzyme present in tissues throughout
Diagnosis Framework ... RBCs, muscle, liver ... : • Early acute ... meningitis • Cerebral hemorrhage ... Demand ischemia • Trauma
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
- Differential ... Pseudo-obstruction Acute ... Ogilvie's Syndrome • Trauma ... Retroperitoneal Hemorrhage ... Sclerosis, Spinal Injury
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
re-exams (normal CXR ... injuries to spleen, liver ... with hemorrhage ... and/or delayed diagnosis ... pattern on your differential