14 results
Ruptured Tubal Ectopic Pregnancy on Pelvic Ultrasound

Young female.  Lower abdominal pain/VB.  UCG pos. Soft
Pregnancy on Pelvic ... Pelvis Sag See thread ... Don't assume that acute ... #Pregnancy #Pelvis ... Ultrasound #clinical #OBGyn
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
Hemolysis, Elevated Liver ... child * Severe cases ... exchange 2) Fatty liver ... AFLP #Obstetrics #OBGyn ... #Hematology #Diagnosis
Causes of Acute Pelvic Pain - Differential Diagnosis Algorithm
Non-Gynecologic:
• Genitourinary (Infection, Stone)
• Gastrointestinal (Appendicitis, Gastroenteritis, Diverticulitis,
Causes of Acute ... Extrauterine: • Ectopic ... pregnancy* Pelvic ... Hydrosalpinx #Acute ... #OBGyn #Gynecology
Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP)
Three syndromes in
HELLP Syndrome and Acute ... Fatty Liver of ... Hemolysis, Elevated Liver ... child * Severe cases ... AFLP #obstetrics #hematology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... of Pregnancy (AFLP ... = nonspecific (nausea ... #Pregnancy #hepatology ... #obstetrics #obgyn
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... fibrosis - Acute ... fatty liver of ... pregnancy 3. ... #differential #hepatology
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
Causes of Acute ... Toxic: Medication, Pregnancy ... Differential #Diagnosis #Causes ... #Acute #algorithm ... #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
HTN: ascites (SAAG ... • Cirrhosis/acute ... sarcoidosis) • Liver ... of pregnancy ... #hepatology
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
rule out possible ectopic ... vs pregnancy related ... cause Hemorrhage ... breast cancer, liver ... PO Outpatient OBGYN
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... Algorithm Vascular Causes ... of Acute Liver ... melanoma, myeloma • Pregnancy ... diagnosis #algorithm #hepatology