Forwarded from Sketchy .
A 30-year-old primigravida at 35 weeks presents with nausea, vomiting, headache, RUQ pain, and progressive jaundice. She is confused, her glucose is 40 mg/dL, and labs reveal elevated LFTs, renal impairment, coagulopathy, and leukocytosis. BP is 120/80 mmHg. Platelets are mildly low. Fetal monitoring is non-reassuring.
What is the most likely diagnosis?
What is the most likely diagnosis?
Forwarded from Sketchy .
Sketchy .
A 30-year-old primigravida at 35 weeks presents with nausea, vomiting, headache, RUQ pain, and progressive jaundice. She is confused, her glucose is 40 mg/dL, and labs reveal elevated LFTs, renal impairment, coagulopathy, and leukocytosis. BP is 120/80 mmHg.โฆ
Forwarded from Sketchy .
A 27-year-old woman at 30 weeksโ gestation presents with fever, anorexia, malaise, and jaundice. She just returned from a rural area with poor sanitation. LFTs are markedly elevated, and INR is prolonged. She becomes confused and drowsy. Hepatitis E IgM is positive.
What is the most appropriate next step in management?
What is the most appropriate next step in management?
Forwarded from Sketchy .
A 33-year-old primigravida at 35+5 weeks presents with nausea, RUQ pain, confusion, and jaundice. BP is 100/60 mmHg, glucose is 38 mg/dL, and she has coagulopathy and thrombocytopenia. LFTs and creatinine are markedly elevated. Fetal monitoring shows bradycardia.
What is the most urgent next step?
What is the most urgent next step?
Forwarded from Sketchy .
Sketchy .
A 33-year-old primigravida at 35+5 weeks presents with nausea, RUQ pain, confusion, and jaundice. BP is 100/60 mmHg, glucose is 38 mg/dL, and she has coagulopathy and thrombocytopenia. LFTs and creatinine are markedly elevated. Fetal monitoring shows bradycardia.โฆ
๐1
ููู ู
ุงุงุฑูุญ ุงููู ุงู
ุฑุงุถ ุงูุซุงูุฑููุฏ ูุงู ุจุชูุชุฑู ูุฏุงู
ู ูุงุชุฐูุฑ ฺูุตุงุช ุงูุงูุฏู ูุชุชุนุจ ููุณูุชู ๐
ูุนูู ุดููู ุงูุชูููุฏ ู ูุงูููู ูุฎูููู ุฃุชุฎุทู ุงูุงูุฏู ุ ๐ฆฆ
ูุนูู ุดููู ุงูุชูููุฏ ู ูุงูููู ูุฎูููู ุฃุชุฎุทู ุงูุงูุฏู ุ ๐ฆฆ
๐ญ11โค6๐1
ุงูููู
ุงู ุดุงุกุงููู ุซููููู ููุดุฑุญูู ๐
๐18โค6
ููุง ุฎู ููุฑู ู
ูุฒู
ุฉ ุงู jaundice ๐
ุจุณู ุงููู ุงูุฑุญู ู ุงูุฑุญูู
ุจุณู ุงููู ุงูุฑุญู ู ุงูุฑุญูู
โค5