34 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
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural ... - Oncotic • Cirrhosis ... • Uremia • Meigs ... Diagnosis #Algorithm #Hepatology ... #causes
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
and hepatorenal syndrome ... Clues to non-cirrhotic ... Post-Hepatic: • Cardiac causes ... • Budd Chiari syndrome ... #hepatology
Disorders of the Hepatic and Mesenteric Circulation

Platelets in Cirrhosis
Hypercoagulability in Cirrhosis
Bleeding in Cirrhosis
Portal Vein Thrombosis (PVT)
Mesenteric
Platelets in Cirrhosis ... Portal Vein Thrombosis ... PVT) Mesenteric Vein ... ) Budd Chiari Syndrome ... Circulation #Disorders #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 Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal ... pre-sinusoidal: Portal vein ... or secondary to cirrhosis ... post-sinusoidal: Budd-Chiari syndrome ... #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
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
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign caused ... Elevating the arms causes ... previously flat neck veins ... superior vena cava syndrome ... Thyroid #Goiter #PhysicalExam
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Etiologies of Cirrhosis ... Primary biliary cirrhosis ... disease (Budd-Chiari syndrome ... #Differential #Hepatology ... #Cirrhosis #Causes