18 results
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... to non-cirrhotic ... portal HTN: • Ascites ... Post-Hepatic: • Cardiac causes ... #hepatology
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
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Prehepatic: • Portal vein ... - Hepatic: • Cirrhosis ... Diagnosis #Algorithm #Hepatology ... #causes
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
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... : cirrhosis, malignancy ... more than one cause ... (e.g. cirrhosis ... Differential #Diagnosis #hepatology
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Dilated Abdominal Veins ... determine the cause ... #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 ... #Causes #diagnosis ... #differential #hepatology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
+ ascites • No ... - No other cause ... - No other cause ... + ascites Dr. ... HRSAKI #HRSNAKI #hepatology
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
In this case the ... #Hypertension #PhysicalExam ... flow #direction #veins ... #cirrhosis #hepatology