Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 β€’ Onset/Trimester: 25-32 weeks
 β€’ Typical clinical features:
weeks β€’ Typical clinical ... post-partum β€’ Typical clinical ... post-partum β€’ Typical clinical ... hepatitis #comparison #differential ... #diagnosis #icp
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... >10 mmHg - clinically ... of pregnancy ... #Diagnosis #causes
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
of Pregnancy (AFLP ... Antithrombin Ill β€’ Ultrasound ... infiltration) Differential ... Diagnosis: Viral ... #Pregnancy #hepatology
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
management - RUQ ... ultrasound - ... Triglyceride level - Liver ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 β€’ Guidelines as SBP β‰₯130 or DBP β‰₯ 90 mmHg
 β€’
pits <100k), ↑ liver ... ULN) or severe RUQ ... hemolysis, elevated liver ... so have high clinical ... obstetrics #cardiology #differential
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... Diagnosis? ... considered within differential ... Calcifications #POCUS #clinical ... #ultrasound #RUQ
β–Ί
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
X-ray and lung ultrasound ... Phos), CBC with differential ... - Beta-HCG if pregnancy ... Pyridostigmine - New diagnosis ... Checklist #Management #CriticalCare