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liver obstetrics algorithm pregnancy causes chemistry comparison disease fatty hemorrhage injury interpretation lfts management postpartum pph rvalue transaminitis
Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
Hepatic infarcts, Hematomas ... #obstetrics #hepatitis ... #comparison #differential ... #diagnosis #icp ... #HELLP #AFLP
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
Antithrombin Ill • Ultrasound ... infiltration) Differential ... Hepatitis, Preeclampsia ... , HELLP, Intrahepatic ... #obstetrics #obgyn
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Liver Injury - Differential ... Diagnosis Algorithm ... • Pregnancy: HELLP ... hemolysis, bleeding, hematoma ... #hepatology
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Check Acute viral hepatitis ... hemolysis, bleeding, hematoma ... liver #chemistry #diagnosis ... #differential # ... Hepatology #transaminitis
Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm Blood Loss: >500mL post vaginal delivery OR >1000 mL
Post-Partum Hemorrhage - Differential ... Diagnosis Algorithm ... Vaginal laceration / hematoma ... purpura (TTP) • HELLP ... Causes #Obstetrics #OBGyn
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