14 results
Portosystemic collaterals in Cirrhosis

Milking abdominal veins demonstrates centrifugal blood flow in caput medusae.

Dr. Boby Varkey Maramattom
collaterals in Cirrhosis ... flow in caput medusae ... #veins #caput #medusae ... clinical #video #physicalexam ... #cirrhosis #hepatology
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... of Cirrhosis and ... Management Refractory ... #diagnosis #management ... gastroenterology #hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Diagnosis Table ... - Serum Ascites ... SAAG ≥ 1.1: • Cirrhosis ... Differential #Diagnosis #Table ... Gradient #SAAG #hepatology
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
Flow of Caput Medusae ... DrArunKValsan #Caput #Medusae ... #Hypertension #PhysicalExam ... direction #veins #cirrhosis ... #hepatology
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Liver Disease (Cirrhosis ... Complications • Ascites ... #ESLD #Liver #Cirrhosis ... Complications #diagnosis #management ... #summary #hepatology
Milking abdominal veins - Demonstrating centrifugal blood flow in caput medusae

#Milking #abdominal #veins #caput #medusae #clinical
flow in caput medusae ... #veins #caput #medusae ... clinical #video #physicalexam ... #cirrhosis #hepatology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... of Cirrhosis ... 8g per liter of ascites ... #Cirrhosis #treatment ... #hepatology
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... @ebtapper #Ascites ... #Management #cirrhosis ... #hepatology
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Veins and Caput Medusae ... DrArunKValsan #Caput #Medusae ... #Blood #Flow #physicalexam ... #diagnosis #hepatology ... #cirrhosis #obstruction
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
DNA (>10^6 IU/mL ... Family history of cirrhosis ... or fibrosis • Cirrhosis ... #Indications #management ... #hepatology