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causes obstetrics aflp hepatitis management obgyn pregnancy adrenal aloc altered bilirubinemia coagulation comatose comparison dic disease disseminated fast fatty hematology
Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
Pruritus, Mild jaundice ... Hepatic infarcts, Hematomas ... extensive necrosis and hemorrhage ... Disease #Pregnancy #hepatology ... #diagnosis #icp
Jaundice - Differential Diagnosis Algorithm Pre-Hepatic - Unconjugated Hyperbilirubinemia Increased Production • Hemolysis • Ineffective Erythropoiesis • Hematoma Decreased
Jaundice - Differential ... Diagnosis Algorithm ... Erythropoiesis • Hematoma ... Diagnosis #Algorithm ... #Causes #Hepatology
Adrenal hematoma/hemorrhage on FAST exam Adult male with RUQ/side pain after MVC. Transient prehospital hypotension. Has
Adrenal hematoma ... Diagnosis/differential ... Right adrenal hematoma ... RJonesSonoEM #Adrenal #hematoma ... #Positive #trauma
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 Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm Brain Involvement - Hemispheric
Diagnosis Algorithm ... Hemispheric • Hemorrhage ... fracture • Subdural hematoma ... - Excesses • Liver ... #Diagnosis #Algorithm
Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm Blood Loss: >500mL post vaginal delivery OR >1000 mL
- Differential ... Diagnosis Algorithm ... Vaginal laceration / hematoma ... purpura (TTP) • HELLP ... #Diagnosis #Algorithm
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
(DIC, ascites, jaundice ... infiltration) Differential ... Diagnosis: Viral ... Preeclampsia, HELLP ... #Pregnancy #hepatology
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Diagnosis Algorithm ... • Pregnancy: HELLP ... hemolysis, bleeding, hematoma ... #diagnosis #algorithm ... #hepatology
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
organ damage Clinical ... Acral cyanosis • Hemorrhagic ... Subcutaneous dissecting hematoma ... DIC • Severe Liver ... #Coagulation #diagnosis
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