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hepatology management obgyn algorithm injury transaminitis causes clinical hematology hepatitis pregnancy 3 abnormal acromegaly aflp anemia apml biliary chemistry cholangitis
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
Cr, ↓Glucose, ↓PLT ... Antithrombin Ill • Ultrasound ... infiltration) Differential ... Diagnosis: Viral ... Pregnancy #hepatology #obstetrics
Hepatocellular Liver Injury - Differential Diagnosis Framework: Liver Injury → liver test abnormalities without evidence of liver
Diagnosis Framework ... failure 1) Hepatocellular ... phosphatase) 2) ... disease, Alpha-1 ... Transaminitis #LFTs
Patterns of Liver Injury Transaminase Levels: > 50x normal - Ischemic Hepatitis > 20x normal
Patterns of Liver ... Skeletal muscle 2- ... Injury #hepatology #LFTs ... transaminitis #differential ... #diagnosis
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
- Differential ... Diagnosis Algorithm ... disease: > 2 ... injury #hepatitis #differential ... #diagnosis #algorithm
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Interpretation of LFTs ... HCV RNA • R 2- ... #chemistry #diagnosis ... #differential # ... transaminitis #LFTs
Live Ectopic Pregnancy on Transvaginal POCUS Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
(see below for diagnosis ... Pearls: #1 Confirm ... an IUP or not. #2 ... Transvaginal #Pelvic #Ultrasound ... #obgyn #obstetrics
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 Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
Female:Male 9:1 ... Pathophysiology ... • AMA titer 1: ... or higher • Liver ... bile ducts Differential
Postpartum Hemorrhage - Differential Diagnosis and Management Uterine Atony (80%) - Most PPH Will respond to
Diagnosis and Management ... liter IVNS • Drain ... hand to gather POC ... compression (using ultrasound ... #obstetrics #obgyn
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
disease; T2DM, type 2 ... mellitus; USS, ultrasound ... #LFTs #Abnormal ... #Enzymes #Differential ... #Diagnosis
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... survival is 93-95% Pathophysiology ... at the time of diagnosis ... 5%), liver (pain ... /abnormal LFT):
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