14 results
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
Thrombocytopenia ... Elevated Liver tests ... #AFLP #Obstetrics ... #OBGyn #Hematology ... #Diagnosis #Comparison
Evaluation abnormal liver tests in pregnancy
- Cholestatic Pattern
- Hepatocellular Pattern

#LFTs #transaminits #pregnancy #obgyn #obstetrics #hepatology #diagnosis
abnormal liver tests ... transaminits #pregnancy #obgyn ... #obstetrics #hepatology ... #diagnosis #differential
Gestational Hypertension & Preeclampsia

Gestational Hypertension (gHTN) 
• BP > 140/90 
• Onset > 20 wks gestation
mg/dL or 2x • Thrombocytopenia ... Mal Seizure HELLP ... Classification #Diagnosis ... #Criteria #Obstetrics ... #OBGyn
Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP)
Three syndromes in
Thrombocytopenia ... Elevated Liver tests ... Bloodman #Pregnancy #Thrombocytopenia ... #AFLP #obstetrics ... #hematology #diagnosis
Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm
Blood Loss: >500mL post vaginal delivery OR >1000 mL
- Differential Diagnosis ... purpura (TTP) • HELLP ... #Differential #Diagnosis ... Algorithm #Causes #Obstetrics ... #OBGyn
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
- Differential Diagnosis ... and Workup History ... K), H. pylori test ... #Causes #Workup ... #hematology
Hemolytic Anemia - Differential Diagnosis Algorithm
 • Sickle cells - Consider sickle cell disease (diverse genotypes):
- Differential Diagnosis ... Schistocytes, thrombocytopenia ... - DIC, TTP, HELLP ... #Algorithm #workup ... #hematology #testing
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
, no necrosis HELLP ... features: Hemolysis, Thrombocytopenia ... #obstetrics #hepatitis ... #differential #diagnosis ... #icp #HELLP #AFLP
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
) Differential Diagnosis ... Preeclampsia, HELLP ... Liver #Pregnancy #hepatology ... #obstetrics #obgyn ... #diagnosis #management
A possible diagnostic algorithm for pulmonary embolism in pregnancy (equipose)

Given the variability in guidelines and equipoise
A possible diagnostic ... deciding which test ... equipose): #Diagnosis ... #OBGyn #Obstetrics ... VTE #Pregnancy #Workup