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Physiology
Diseases
Labs and imaging
Treatments
Differentials
100
In pregnancy, this hormone is responsible for the increase in cholesterol synthesis.
What is estrogen?
100
Most common cause of acute pancreatitis in pregnancy.
What are gallstones?
100
The preferred imaging modality during pregnancy
What is an ultrasound
100
Acute cholecystitis
NPO IV hydration analgesia antibiotics
100
RUQ pain
Biliary cholic Acute cholecystitis Pre-eclampsia/HELLP with liver involvement
200
Name three laboratory tests (related to the liver) that increase in value during pregnancy.
What are cholesterol, serum bile acids and triglycerides.
200
Name risk factors for hyperemesis gravidarum.
primigravida multiple gestation molar pregnancy prior HG prior unsuccessful pregnancy
200
Hemolytic anemia Low platelets Elevated serum AST and bilirubin
What is HELLP?
200
Sulfasalazine
IBD
200
Hepatotoxicity Gallstones Acute cholecystitis Choledocholithiasis Ascending cholangitis Gallstone pancreatitis
What is jaundice?
300
This lab value declines during pregnancy from 1. hemodilution and 2. decreased hepatic synthesis.
What is albumin?
300
Which type of hepatitis has a mortality rate of 20% if acute infection in third trimester?
E
300
Hepatic hemorrhage
Anemia, leukocytosis, highly elevated LFTs Abdominal CT most accurate diagnosis
300
Choledocholithiasis
ERCP
300
Gastrointestinal disorders associated with RLQ pain
Appendicitis Crohn's Dz Ruptured Meckel's diverticulum Intestinal intessusception Cecal perforation Colon cancer Ischemic colitis IBS
400
Name the ways pregnancy modifies the GI tract.
Compression by enlarged uterus, decreased lower esophageal sphincter tone, decreased small bowel motility, increased constipation.
400
Give three reasons there is a delay of diagnosis of appendicitis in pregnancy.
1. leukocytosis 2. nausea and vomiting 3. displaced appendix
400
Acute upper or lower GI bleeding
EGD, flex sig
400
Preferred analgesic in pancreatitis. (and why?)
What is meperidine?
400
Pruritis
ICP hepatitis sclerosing cholangitis
500
In pregnancy, biliary sludge develops in ___ of women and by the time of delivery _______ % of women have gallstones on US.
What is one third, 10-12.
500
RUQ pain, pyrexia, and jaundice
What is Charcot's triad?
500
Elevated levels of urinary porphobilinogen and delta-aminolevulinic acid.
Acute intermittent porphyria
500
Esophageal variceal bleeding
Preferred: banding (endoscopic sclerotherapy) TIPS
500
Budd Chiari Syndrome Acute fatty liver of pregnancy Portal vein thrombosis hepatocellular carcinoma abdominal TB severe malnutrition
What is ascites?