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diagnosis differential algorithm abdominal ascites clinical gastroenterology hepatopulmonary management physicalexam portal veins caput direction flow liver medusae obstruction video a4c
Complications of Portal Hypertension • Hepatic Encephalopathy • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax •
• Hepatic Encephalopathy ... Hepatopulmonary syndrome ... , Hepatic hydrothorax ... • Cirrhotic Cardiomyopathy ... Complications #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... and hepatorenal syndrome ... Clues to non-cirrhotic ... : • Cardiac causes ... #hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... - Hepatic: • ... Cirrhosis • Schistosomiasis ... Diagnosis #Algorithm #Hepatology ... #causes
Jaundice - Differential Diagnosis Algorithm Pre-Hepatic - Unconjugated Hyperbilirubinemia Increased Production • Hemolysis • Ineffective Erythropoiesis • Hematoma Decreased
Jaundice - Differential ... • Gilbert's Syndrome ... Crigler-Najjar Syndromes ... Diagnosis #Algorithm #Causes ... #Hepatology #bilirubinemia
Causes of Portal Hypertension According to Site of Vascular Obstruction 1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal ... Hypertension According ... or secondary to cirrhosis ... post-sinusoidal: Budd-Chiari syndrome ... #hepatology
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension We do the milking method as depicted
Medusae in Portal Hypertension ... We do the milking ... In this case the ... direction #veins #cirrhosis ... #hepatology
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 Classification of Jaundice Unconjugated hyperbilirubinemia (predominantly indirect bilirubin) • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
Classification of Jaundice ... eg, hepatitis, hepatic ... cirrhosis) Intrahepatic ... drugs, biliary cirrhosis ... #differential #causes
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... Peritoneum Portal hypertension ... - Budd-Chiari syndrome ... disease - Cirrhosis ... #differential #hepatology
Causes of Pleural Effusion - Differential Diagnosis Algorithm Transudate - Hydrostatic • Congestive heart failure • Constrictive
Causes of Pleural ... - Oncotic • Cirrhosis ... Diaphragmatic: • Hepatic ... Diagnosis #Algorithm #Hepatology ... #causes
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow Vein Milking technique can be used
Blood Flow Vein Milking ... determine the cause ... • Portal Hypertension ... physicalexam #diagnosis #hepatology ... #cirrhosis #obstruction
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