13 results
Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP)
Three syndromes in
HELLP Syndrome and Acute ... coagulation defects. 1) ... plasma exchange 2) ... plasma exchange 3) ... #obstetrics #hematology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... nausea, vomiting, abdominal ... Antithrombin Ill • Ultrasound ... infiltration) Differential ... Pregnancy #hepatology #obstetrics
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... - Differential ... Diagnosis Algorithm ... disease: > 2 ... injury: > 3
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
HCV RNA • R 2- ... HCV RNA • R < 2: ... disease: > 2 ... injury: > 3 • ... chemistry #diagnosis #differential
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
and hemorrhage Acute ... Pregnancy (AFLP) ... Pregnancy #hepatology #obstetrics ... hepatitis #comparison #differential ... diagnosis #icp #HELLP #AFLP
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Hyponatremia: 1) ... vs. chronic) 2) ... confusion, seizures) 3) ... history (cardiac, liver ... #Algorithm #Ddxof
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
patient, severe abdominal ... Pearls: #1 Confirm ... an IUP or not. #2 ... at the bedside #3 ... #POCUS #clinical
Acute Diarrhea - Differential Diagnosis Framework
1)  Diagnostic studies only for dysentery, severe disease, >7 days
2)
Framework 1) Diagnostic ... disease, >7 days 2) ... PCR>culture 3) ... abdominal processes ... NonInfectious #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... Treatment Goals: 1) ... MAP > 60-65 2) ... Lactate < 2.0 3) ... #criticalcare #algorithm
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
liter IVNS • Drain ... Using external abdominal ... examining hand) 3. ... compression (using ultrasound ... Diagnosis #Management #obstetrics