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management anemia hematology obstetrics syndrome treatment 1 2 amyloid amyloidosis aplastic cardiology cardiomyopathy coagulation contusion ctchest dic differential disseminated gynecology
ED Treatment of Abnormal Uterine Bleeding Hemodynamically unstable Resuscitation • ABCs! • Fluids +
rule out possible ectopic ... pregnancy related cause ... breast cancer, liver ... xl in ED with 3 ... PO Outpatient OBGYN
Live Ectopic Pregnancy on Transvaginal POCUS Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Live Ectopic Pregnancy ... (see below for diagnosis ... at the bedside #3 ... #POCUS #clinical ... #obgyn #obstetrics
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 Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
Coagulation (DIC) Overview ... organ damage Clinical ... DIC • Severe Liver ... #Coagulation #diagnosis ... #causes #treatment
Aplastic Anemia - Overview Who? • M = F • 3 peaks: 1) Childhood 2) 15-25 years 3) >60 years What? • Aplastic anemia
Aplastic Anemia - Overview ... Aplastic Anemia Clinical ... ecchymoses, mucosal bleeding ... and petechiae Causes ... oncology #hematology #diagnosis
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... Pulmonary embolus 3. ... sx overlap with normal ... Period • Breast-feeding
Amyloidosis - Summary Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Clinical suspicion ... of the protein 3. ... Amyloidosis Clinical ... failure • GI bleeding ... imaging of liver
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Sjogren's Syndrome Overview ... Hypocomplementemia • Can cause ... salivary ducts Clinical ... vasculitis: 10%-16% Liver ... biliary cirrhosis: 3%
Anemia of Hospitalization - Pathophysiology Why does the Hgb/Hct drop in the first two days during hospitalization? Interestingly,
invasive procedures/ bleeding ... the Journal of Clinical ... a 3-6% drop in ... deficiencies • Renal, liver ... dL between days 3-
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
Diagnosis (Clinical ... • Normal kidney ... ultrasound ... Exclude other AKI causes ... Treatment Overview
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This patient’s clinical ... was placed on 3 ... intra-abdominal bleeding ... often from a liver ... Most commonly caused
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