13 results
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Liver Function Test ... ≥ 2x ULN R Value ... injury >2 ... Transaminitis #diagnosis ... #hepatology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... Antithrombin Ill • Ultrasound ... infiltration) Differential ... Pregnancy #hepatology ... #obstetrics #obgyn
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
tests, Low Platelets ... plasma exchange 2) ... TTPHUS #HELLP #AFLP ... #Obstetrics #OBGyn ... #Hematology #Diagnosis
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
patient, severe abdominal ... +preg test. ... (see below for diagnosis ... an IUP or not. #2 ... #obgyn #obstetrics
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Interpretation of LFTs R-value ... HCV RNA • R 2- ... #chemistry #diagnosis ... #differential # ... Hepatology #transaminitis
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
ALP, alkaline phosphatase ... disease; T2DM, type 2 ... mellitus; USS, ultrasound ... Abnormal #Algorithm #Hepatology ... #Differential #
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... Diagnosis Algorithm ... extrahepatic source - Tests ... disease: > 2 ... #hepatology
Hemolysis - Differential Diagnosis Framework

1) Environment
  - Fragmentation
  - MAHA: TTP, HUS, DIC, HELLP
HELLP - Grafts, Valves ... Pre-eclampsia 2) ... Defects, Drugs, Liver ... Laboratory Tests ... #Diagnosis #hematology
Antenatal / Prenatal Care Schedule 
At Every Visit: Weight, Blood pressure, Psychosocial screening, Counseling re. Indications
serum screen (AFP ... - Chorionic villus ... 6 movements in 2 ... • ± Non-stress test ... Evaluation #Obstetrics #OBGyn
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
Diagnosis and Management ... analgesia 2. ... Using external abdominal ... compression (using ultrasound ... #obstetrics #obgyn