71 results
Portosystemic collaterals in Cirrhosis

Milking abdominal veins demonstrates centrifugal blood flow in caput medusae.

Dr. Boby Varkey Maramattom
collaterals in Cirrhosis ... Milking abdominal ... veins demonstrates ... #veins #caput # ... #physicalexam #cirrhosis
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Dilated Abdominal ... determine the cause ... anterior chest wall & abdominal ... diagnosis #hepatology #cirrhosis ... obstruction #comparison #abdominal
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
Flow of Dilated Abdominal ... of seizures & cirrhosis ... have distended abdominal ... What is the cause ... this pt does have cirrhosis
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal ... pre-sinusoidal: Portal vein ... or secondary to cirrhosis ... , Abdominal trauma ... 3) Sinusoidal: Cirrhosis
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
to non-cirrhotic ... Post-Hepatic: • Cardiac causes ... Intrahepatic: • Cirrhosis ... Primary biliary cirrhosis ... Differential #Diagnosis #causes
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
In this case the ... PhysicalExam #Milking #abdominal ... flow #direction #veins ... #cirrhosis #hepatology
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Scars, Distension, Veins ... fluid, Dilated abdominal ... wall veins (caput ... #physicalexam #cirrhosis
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Peritonitis (SBP) on Abdominal ... POCUS Cirrhosis ... Peritonitis #SBP #Abdominal ... POCUS #clinical #ultrasound
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Causes of Gallbladder ... failure, Liver cirrhosis ... Adenomyomatosis, Cystic vein ... radiology #POCUS #ultrasound
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
3) Sinusoidal: Cirrhosis ... Pre-sinusoidal: Portal vein ... or secondary to cirrhosis ... , Abdominal trauma