27 results
Portosystemic collaterals in Cirrhosis

Milking abdominal veins demonstrates centrifugal blood flow in caput medusae.

Dr. Boby Varkey Maramattom
Milking abdominal ... veins demonstrates ... medusae #clinical ... #video #physicalexam ... #cirrhosis #hepatology
Milking abdominal veins - Demonstrating centrifugal blood flow in caput medusae

#Milking #abdominal #veins #caput #medusae #clinical
Milking abdominal ... #veins #caput # ... medusae #clinical ... #video #physicalexam ... #cirrhosis #hepatology
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
depicted in the video ... PhysicalExam #Milking #abdominal ... #clinical #video ... flow #direction #veins ... #cirrhosis #hepatology
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
pre-sinusoidal: Portal vein ... , Abdominal trauma ... , Polycystic liver ... portalhypertension #phtn #differential ... diagnosis #causes #hepatology
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Peritonitis Clinical ... • Fever • ... Chills • Abdominal ... SBP #Diagnosis #Hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... >10 mmHg - clinically ... Clues to non-cirrhotic ... #Hypertension #Differential ... Diagnosis #causes #hepatology
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Peritonitis (SBP) on Abdominal ... POCUS Cirrhosis ... with fever/abd ... #POCUS #clinical ... #ultrasound #Gas
Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
Patterns of Liver ... CMV), Alcoholic cirrhosis ... , Portal Vein Thrombosis ... #Injury #hepatology ... transaminitis #differential
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites - Differential ... Prehepatic: • Portal vein ... - Hepatic: • Cirrhosis ... disease • Acute liver ... Diagnosis #Algorithm #Hepatology
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
reflection on the differential ... traversing the portal vein ... ileus), intra-abdominal ... #hepatology #liver ... #pocus #clinical