39 results
Evaluation abnormal liver tests in pregnancy
- Cholestatic Pattern
- Hepatocellular Pattern

#LFTs #transaminits #pregnancy #obgyn #obstetrics #hepatology #diagnosis
abnormal liver tests ... in pregnancy - ... #transaminits #pregnancy ... #obgyn #obstetrics ... #hepatology #diagnosis
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
Elevated Liver tests ... delivery of child 3) ... #HELLP #AFLP #Obstetrics ... #OBGyn #Hematology ... #Diagnosis #Comparison
Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP)
Three syndromes in
Fatty Liver of Pregnancy ... Elevated Liver tests ... plasma exchange 3) ... #HELLP #AFLP #obstetrics ... #hematology #diagnosis
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
contraindicated if pregnant ... teaching point: Check pregnancy ... test immediately ... because pregnancy ... Algorithm #Workup #Endocrinology
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Onset/Trimester: 3 ... Onset/Trimester: 3 ... Microvesicular fat in zone 3 ... #hepatology #obstetrics ... #differential #diagnosis
Hypertension in Pregnancy - Classification

Elevation in blood pressure >140 mmHg systolic, or >90 mmHg diastolic.

1) Chronic
hypertension which is diagnosed ... hypertension which is diagnosed ... see below). 3) ... : hypertension diagnosed ... #Definitions #Obstetrics
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Insufficiency Diagnosis ... Algorithm Test ... levels (OCPs, pregnancy ... ) Test 2: ACTH Stimulation ... #Algorithm #endocrinology
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Live Ectopic Pregnancy ... +preg test. ... (see below for diagnosis ... at the bedside #3 ... clinical #obgyn #obstetrics
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
if value is < 3, ... /inconclusive (3- ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
coagulopathy Pregnancy ... test rule out possible ... ectopic vs pregnancy ... xl in ED with 3 ... Bleeding #Management #Obstetrics