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management aflp algorithm hepatology obgyn pregnancy treatment acromegaly aloc altered caudaequina classification coagulation comatose comparison cord dementia disease disseminated fatty
Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
Hepatic infarcts, Hematomas ... DIC • Aminotransferases ... Pregnancy #hepatology #obstetrics ... hepatitis #comparison #differential ... #diagnosis #icp
Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm Brain Involvement - Hemispheric
Causes of Altered ... Diagnosis Algorithm ... fracture • Subdural hematoma ... Vasculitis • TTP • DIC ... - Excesses • Liver
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
= nonspecific (nausea ... rapidly develops (DIC ... infiltration) Differential ... Diagnosis: Viral ... Pregnancy #hepatology #obstetrics
Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm Blood Loss: >500mL post vaginal delivery OR >1000 mL
Causes of Post-Partum ... Diagnosis Algorithm ... Vaginal laceration / hematoma ... intravascular coagulation (DIC ... #Causes #Obstetrics
Cauda Equina Syndrome Causes: • Large lumbar degenerative disc herniation (central) • Severe lumbar spondylosis • Neoplasm
Equina Syndrome Causes ... lumbar degenerative disc ... Trauma or epidural hematoma ... Syndrome #MSK #pathophysiology ... #diagnosis #symptoms
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
protein C and S Pathophysiology ... organ damage Clinical ... Subcutaneous dissecting hematoma ... • Severe Liver ... #Coagulation #diagnosis
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Heat Stroke - Differential ... Diagnosis Framework ... Collapse: • Pathophysiology ... → Syncope • Signs ... #diagnosis #causes
Major neurocognitive disorders (MNCD): Diagnosis and workup 1) Clinical diagnosis Cognitive impairment + loss of autonomy 2)
workup 1) Clinical ... 1.5%) : tumors, hematoma ... Alzheimer - 1st cause ... (parkinsonian signs ... MNCD #Dementia #Differential
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Causes of spinal ... • Extrinsic Causes ... - Hematoma ... syndromes #lesions #differential ... #diagnosis #neurology
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
GrepMed Handbook Clinical ... GH stimulates liver ... Differential Diagnosis ... or refractory cases ... #Management #Endocrinology
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