14 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 ... Milking #abdominal #veins ... clinical #video #physicalexam ... #cirrhosis #hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Table - Serum Ascites ... SAAG ≥ 1.1: • Cirrhosis ... • Portal vein ... Gradient #SAAG #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... Clues to non-cirrhotic ... portal HTN: • Ascites ... Primary biliary cirrhosis ... Diagnosis #causes #hepatology
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Aspiration of ascitic ... abdominal wall veins ... Splenornegaly, Ascites ... Edema #biliary #physicalexam ... #cirrhosis #liver
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Prehepatic: • Portal vein ... thrombosis • Splenic vein ... - Hepatic: • Cirrhosis ... Diagnosis #Algorithm #Hepatology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Management of Cirrhosis ... 8g per liter of ascites ... Indications #Management #Cirrhosis ... #treatment #hepatology
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Dilated Abdominal Veins ... Blood Flow Vein ... #Blood #Flow #physicalexam ... #diagnosis #hepatology ... #cirrhosis #obstruction
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... disease - Cirrhosis ... Portal vein occlusion ... - Bile ascites ... #differential #hepatology
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
#Hypertension #PhysicalExam ... flow #direction #veins ... #cirrhosis #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
>1.1 g/dl): - Cirrhosis ... failure - Hepatic vein ... syndrome) - Portal vein ... without cirrhosis ... Differential #Diagnosis #hepatology