88 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
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
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Liver Disease in ... ICP) • Onset/Trimester ... Hemolysis, Elevated Liver ... Platelets) • Onset/Trimester ... AFLP) • Onset/Trimester
Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP)
Three syndromes in
and Acute Fatty Liver ... Hemolysis, Elevated Liver ... most often in 2nd trimester ... exchange 3) Fatty liver ... coagulation defects and liver
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
Hemolysis, Elevated Liver ... exchange 2) Fatty liver ... coagulation defects and liver ... most often in 2nd trimester
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... different) PMHx: - Focus ... on prior Liver/ ... MELD - Chronic liver ... US - Prior liver
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... Typically 3rd trimester ... malaise) → Acute liver ... Transfer to a liver
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Chemistries ... Identify Acute Liver ... - Specific to liver ... - Assists in liver ... ALP: Bone, First trimester
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... Causes of Acute Liver ... artery: Shock liver ... Trauma: Shock liver ... 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