303 results
Evaluation abnormal liver tests in pregnancy
- Cholestatic Pattern
- Hepatocellular Pattern

#LFTs #transaminits #pregnancy #obgyn #obstetrics #hepatology #diagnosis
liver tests in pregnancy ... - Cholestatic Pattern ... #transaminits #pregnancy
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
• Hereditary Cholestatic ... of intrahepatic cholestasis ... of pregnancy) ... ) Intrahepatic cholestasis ... or intrahepatic cholestasis
Dematoses in Pregnancy - Specific Skin Conditions
Non-Pruritic
 • Pustular psoriasis of pregnancy
 • Impetigo Herpetiformis
Pruritic -
Dematoses in Pregnancy ... Pustular psoriasis of pregnancy ... • Intrahepatic cholestasis ... of pregnancy (pruritis ... plaques & papules of pregnancy
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
AIH, Wilsons, Pregnancy ... def, Wilson's, Cholestatic ... dz Cholestatic
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Liver Disease in Pregnancy ... Intrahepatic Cholestasis ... of Pregnancy (ICP ... Histology: Normal-mild cholestasis ... Fatty Liver of Pregnancy
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Thrombus, Vasospasm Cholestatic ... Toxic: Medication, Pregnancy ... Hepatitis, TB Cholestatic
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
melanoma, myeloma • Pregnancy ... poisoning, ETOH Cholestatic ... elevation Labs in Cholestatic ... epithelia: - Cholestasis ... ALT: typical of cholestatic
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
• Wilson's • Pregnancy ... • Others • Cholestatic
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
of Intrahepatic cholestasis ... - Pruritis - Cholestasis ... - Drugs - Pregnancy
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
bile ducts causes cholestasis ... , Intrahepatic cholestasis ... of pregnancy, Cardiac ... , Drug-induced cholestasis