59 results
Superior Vena Cava Syndrome on Physical Exam

Prominent dilated collateral veins are seen bypassing the SVC obstruction

#SVC
Superior Vena Cava Syndrome ... bypassing the SVC ... Superior #Vena #Cava #Syndrome ... #PhysicalExam #clinical ... #video #vascular
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... (HPS) HPS-differential ... HPS-severity classification ... Hepatopulmonary #Syndrome ... #HPS #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Late Budd-Chiari syndrome ... , IVC obstruction ... leak, Nephrotic syndrome ... albumin #gradient #hepatology ... #differential #
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... /tamponade • IVC ... • Nephrotic syndrome ... MatthewHoMD #Ascites #Differential ... Gradient #SAAG #hepatology
Elevated Transaminases / Transaminitis - Differential Diagnosis

 • Infectious: HAV, HCV, HEV, EBV, HSV, CMV
 •
Transaminitis - Differential ... Wilson Disease • Vascular ... : Budd-chiari syndrome ... Sinusoidal obstruction syndrome ... Diagnosis #causes #hepatology
Recurrent / Breakthrough DVT During Anticoagulation

Subtherapeutic Anticoagulation
Hypercoagulable State 
 - Antithrombin deficiency 
 - Hypercoagulability ot
- May-Thurner syndrome ... Congenital agenesis of IVC ... anticoagulation #hematology ... #differential #
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
Portal Hypertension Classification ... by site of vascular ... Post-sinusoidal: Budd-Chiari syndrome ... #Hypertension #Classification ... gastroenterology #diagnosis #differential
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
superior vena cava syndrome ... #PhysicalExam #clinical ... #video #vascular ... #neck #mass #SVC ... #Syndrome #otolaryngology
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Pleural Effusion - Differential ... Superior vena cava syndrome ... • Nephrotic syndrome ... embolism • Collagen vascular ... Diagnosis #Algorithm #Hepatology
Pemberton's Sign - Thoracic Outlet Syndrome

The Pemberton maneuver is a physical examination tool used to demonstrate
Thoracic Outlet Syndrome ... (SVC), commonly ... #PhysicalExam #Clinical ... #Video #SVC #Syndrome ... #Vascular #Thoracic