21 results
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
(see below for diagnosis ... Live 12-week ruptured ... Pearls: #1 Confirm ... at the bedside #3 ... #Ultrasound #POCUS
Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP)
Three syndromes in
coagulation defects. 1) ... child * Severe cases ... plasma exchange 3) ... AFLP #obstetrics #hematology ... #diagnosis #table
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
coagulation defects. 1) ... child * Severe cases ... delivery of child 3) ... Obstetrics #OBGyn #Hematology ... #Diagnosis #Comparison
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Causes of Abnormal ... Early liver disease ... Reduced liver synthesis ... #diagnosis #differential ... #hematology #coagulation
Differential Diagnosis for a Prolonged PT and aPTT
If the PT and the aPTT are both prolonged,
Differential Diagnosis ... 1. ... FIX, FX < 30%) 3. ... • Reduced liver ... #hematology #coagulation
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Causes purpura & ... TRALI): Leading cause ... eruptions, diarrhea, liver ... #Transfusion #diagnosis ... #management #hematology
Normal hepatic vein Doppler Ultrasound tracing
1) a large antegrade waveform (negative velocity) noted during early and
tracing 1) a large ... antegrade waveform (negative ... on RA pressure 3) ... #tracing #diagnosis ... #pocus
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Non-Inflammatory 3) ... 3. ... Like in this case ... #Joint #Pain #MSK ... #rheumatology #
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
Liver biopsies show ... RP-ILD Phenotype 1 ... weakness Phenotype 3 ... Dermatomyositis #rheumatology ... #dermatology #diagnosis
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Affects 1:25,000 ... disease • Liver ... level X2 at least 3 ... DDX - Other causes ... hypogammaglobulinemia #immunology #hematology