32 results
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... infiltration) Differential ... Diagnosis: Viral ... Pregnancy #hepatology #obstetrics ... #obgyn #diagnosis
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
Portal Hypertension Classification ... Cirrhosis, Polycystic liver ... to cirrhosis, Abdominal ... gastroenterology #diagnosis ... #differential
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Live Ectopic Pregnancy ... patient, severe abdominal ... (see below for diagnosis ... #clinical #obgyn ... #obstetrics
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Venous Gas on POCUS ... Obscure diagnosis ... ultrasound, reverb in liver ... Venous #Gas #Air #Clinical ... #POCUS #Abdominal
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
weeks • Typical clinical ... post-partum • Typical clinical ... Pregnancy #hepatology #obstetrics ... hepatitis #comparison #differential ... #diagnosis #icp
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... Insufficiency, Liver ... Severe auto-PEEP, Abdominal ... algorithm #treatment #management
Ruptured Tubal Ectopic Pregnancy on Pelvic Ultrasound

Young female.  Lower abdominal pain/VB.  UCG pos. Soft
Lower abdominal ... Diagnosis/differential ... Pelvis #Ultrasound #clinical ... #OBGyn #Obstetrics
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
Diagnosis and Management ... Oxytocin 40 IU in 1 liter ... Using external abdominal ... #Diagnosis #Management ... #obstetrics #obgyn
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
should encourage critical ... reflection on the differential ... ileus), intra-abdominal ... ultrasound #hepatology #liver ... #pocus #clinical
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
cycle found in the liver ... anaerobic metabolism Diagnosis ... of MALA - Abdominal ... presentation - Clinical ... #Management