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differential hepatology management obstetrics pocus aflp algorithm causes criticalcare disease hepatitis hypertension obgyn portal 1 2 abscess amyloid amyloidosis biliary
Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
weeks • Typical clinical ... Onset/Trimester: 3 ... post-partum • Typical clinical ... Onset/Trimester: 3 ... #differential #diagnosis
Causes of Portal Hypertension According to Site of Vascular Obstruction 1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Site of Vascular Obstruction ... to cirrhosis, Abdominal ... , Sarcoidosis 3) ... Cirrhosis, Polycystic liver ... #differential #diagnosis
Portal Hypertension Classification by site of vascular obstruction 1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome 2) Intrahepatic Post-sinusoidal: Veno-occlusive disease 3)
site of vascular obstruction ... Veno-occlusive disease 3) ... Cirrhosis, Polycystic liver ... to cirrhosis, Abdominal ... gastroenterology #diagnosis
Liver Abscess on POCUS 24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... Discharged on 3 ... #Abscess #Hepatic ... #POCUS #Clinical ... #Ultrasound #Abdominal
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 Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... >10 mmHg - clinically ... outflow obstruction ... sarcoidosis) • Liver ... of pregnancy
Live Ectopic Pregnancy on Transvaginal POCUS Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Live Ectopic Pregnancy ... patient, severe abdominal ... (see below for diagnosis ... at the bedside #3 ... #POCUS #clinical
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 Clinical Examination for Liver and Biliary Diseases 1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... for Liver and Biliary ... Wilson's disease 3) ... fluid, Dilated abdominal ... disease #signs #diagnosis
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
of Pregnancy (AFLP ... nausea, vomiting, abdominal ... Antithrombin Ill • Ultrasound ... ) Differential Diagnosis ... #Pregnancy #hepatology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Insufficiency, Liver ... Medications, Spinal Cord ... Arrhythmia • Obstructive ... Severe auto-PEEP, Abdominal ... Lactate < 2.0 3)
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
- Differential Diagnosis ... Injury: • Hepatic ... melanoma, myeloma • Pregnancy ... Intrahepatic - Obstruction ... muscle injury: > 3
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