David J. Bromberg

Liver Disease In Pregnancy I. Problem/Condition. Development of physical exam findings associated with liver disease and changes in liver biochemical profile are normal in pregnancy. These normal changes include development of spider angiomas and palmar erythema with decrease in albumin and increase in alkaline phosphatase. Although any liver disease can occur during pregnancy, several liver…

Amniotic fluid embolism I. What every physician needs to know. Amniotic fluid embolism is a cause of respiratory distress, hypotension, cardiac arrest, altered mental status, seizure, or coagulopathy in pregnant women. Although it has been reported to occur with other gynecologic procedures, symptoms usually occur during labor or immediately after labor. The pathophysiology is not…