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management obstetrics anemia differential hematology hepatology pathophysiology pregnancy syndrome 1 2 aflp amyloid amyloidosis aplastic aub coagulation contusion ctchest disseminated
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
) Overview Increased ... organ damage Clinical ... • Severe Liver ... #Coagulation #diagnosis ... #causes #treatment
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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 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
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
= nonspecific (nausea ... rapidly develops (DIC ... Antithrombin Ill • Ultrasound ... ) Differential Diagnosis ... hepatology #obstetrics #obgyn
Postpartum Hemorrhage - Differential Diagnosis and Management Uterine Atony (80%) - Most PPH Will respond to
- Differential Diagnosis ... examining hand) 3. ... epinephrine prn DIC ... compression (using ultrasound ... Management #obstetrics #obgyn
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
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
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
• Caused by splanchnic ... Diagnosis (Clinical ... • Normal kidney ... ultrasound ... Treatment Overview
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Sjogren's Syndrome Overview ... salivary ducts Clinical ... vasculitis: 10%-16% Liver ... biliary cirrhosis: 3% ... • Nephrogenic DI
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