13 results
Differential Diagnosis of First Trimester Abdominal Pain #Diagnosis #OBGyn #Trimester #First #FirstTrimester #Abdominal #Pain #Pregnancy #Workup
Diagnosis of First Trimester ... Diagnosis #OBGyn #Trimester ... #First #FirstTrimester
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
ICP) • Onset/Trimester ... Platelets) • Onset/Trimester ... of Pregnancy (AFLP ... ) • Onset/Trimester ... diagnosis #icp #HELLP #AFLP
Obstetric Ultrasound Pocket Card
1st Trimester Checklist:
 • Look for signs of an IUP
 • Gestational dating
Pocket Card 1st Trimester ... rate 2nd/3rd Trimester ... Evaluate placenta POCUS ... Obstetrics #Ultrasound #POCUS ... pelvic #obgyn #trimester
Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP)
Three syndromes in
of Pregnancy (AFLP ... most often in 2nd trimester ... TTPHUS #HELLP #AFLP
Antenatal / Prenatal Care Schedule 
At Every Visit: Weight, Blood pressure, Psychosocial screening, Counseling re. Indications
hospital First Trimester ... sensitivity Second Trimester ... - First trimester ... serum screen (AFP ... and Rh Third Trimester
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
of Pregnancy (AFLP ... Typically 3rd trimester ... iMedEducation #AFLP
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
most often in 2nd trimester ... TTPHUS #HELLP #AFLP
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
(Alk phos/ULN ALP ... • AST/ALT > ALP ... Cholestasis • ALP ... disease • If ALP ... : Bone, First trimester
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
• AST/ALT > ALP ... GGT/5-NT: ↑ - ALP ... disease - If ALP ... hemolysis) • ALP ... : Bone, first trimester
Subchorionic Hemorrhage on Pelvic Ultrasound

Sagittal view of uterus with uterine landmarks (bladder & vag stripe) showing
associated with first trimester ... Ultrasound #clinical #POCUS