38 results
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
coagulation defects. 1) ... Elevated Liver tests ... plasma exchange 2) ... #OBGyn #Hematology ... #Diagnosis #Comparison
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
+preg test. ... Pearls: #1 Confirm ... an IUP or not. #2 ... at the bedside #3 ... #obstetrics
Criteria for diagnosis of PPCM - Peripartum Cardiomyopathy
1) LV EF <0.45
2) Meets the Framingham criteria for
Cardiomyopathy 1) ... LV EF <0.45 2) ... criteria for HF 3) ... no alternative cause ... #obgyn
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
- Differential Diagnosis ... and Management ... examining hand) 3. ... #Management #obstetrics ... #obgyn
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
coagulopathy Pregnancy test ... pregnancy related cause ... xl in ED with 3 ... PO Outpatient OBGYN ... #Management #Obstetrics
Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP)
Three syndromes in
coagulation defects. 1) ... Elevated Liver tests ... plasma exchange 2) ... plasma exchange 3) ... #table #comparison
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
decades of life Causes ... Infections 2. ... Autoimmune diseases 3. ... Cold #Urticaria #diagnosis ... #rheumatology #comparison
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
and Management ... Caused by: Tropheryma ... Symptoms and Signs: 1. ... oligoarthralgia (80%) 2. ... Weight loss (90%) 3.
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
and Management ... PEARLS: 1. ... A STIM test can ... 8am cortisol <3 ... 1.
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Vasoactive Drugs 1) ... • Hypovolemic: Bleeding ... Pulmonary embolism 2) ... #inopressors #diagnosis ... #management #comparison