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diagnosis hepatology algorithm hepatitis management obstetrics pathophysiology acromegaly alkaline alp biliary cholangitis cirrhosis comparison disease elevation fatty gynecomastia hellp icp
Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
Pregnancy Intrahepatic ... Hepatic infarcts, Hematomas ... of Pregnancy (AFLP ... hepatitis #comparison #differential ... diagnosis #icp #HELLP #AFLP
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
of Pregnancy (AFLP ... = nonspecific (nausea ... Antithrombin Ill • Ultrasound ... infiltration) Differential ... iMedEducation #AFLP
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm ALP: - Enzymes that catalyze hydrolysis of organic phosphate
) Elevation - Differential ... Highest • Bone • Liver ... Intestine - Other causes ... - Drugs - Pregnancy ... #Elevation #Differential
Elevated Liver Enzymes - Differential Diagnosis Algorithm Severe ALT > 15x ULN • Viral • Drugs/Toxins •
Elevated Liver Enzymes ... - Differential ... • Wilson's • Pregnancy ... - AFLP, HELLP ... Diagnosis #Algorithm #Causes
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
- Differential ... Algorithm Vascular Causes ... melanoma, myeloma • Pregnancy ... hemolysis, bleeding, hematoma ... injury #hepatitis #differential
Sellar / Pituitary Mass - Differential Diagnosis Algorithm Adenoma - Primary Anterior Pituitary - Secreting
Pituitary Mass - Differential ... Pregnancy) • Compensation ... SellarMass #Pituitary #Differential ... Diagnosis #Algorithm #endocrinology ... #causes
Gynecomastia - Differential Diagnosis Algorithm No Testicular Mass on Ultrasound • Adrenal Neoplasm • Increased Extraglomerular Aromatase
Gynecomastia - Differential ... Aromatase Activity • Liver ... #Gynecomastia #Differential ... Diagnosis #Algorithm #causes ... #endocrinology
Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
intralobular bile ducts causes ... obstruction • ALP ... or higher • Liver ... bile ducts Differential ... cholestasis of pregnancy
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
size, coarsening facial ... GH stimulates liver ... Differential Diagnosis ... or refractory cases ... Diagnosis #Management #Endocrinology
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