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diagnosis differential abdominal milking physicalexam portal veins algorithm ascites caput clinical direction flow hepatopulmonary management medusae obstruction treatment anemia blood
Complications of Portal Hypertension • Hepatic Encephalopathy • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax •
Hypertension • ... Hepatopulmonary syndrome ... hydrothorax • Cirrhotic ... Renal: Hepatorenal syndrome ... Complications #hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... Hepatic: • Cirrhosis ... Portal Hypertension ... Diagnosis #Algorithm #Hepatology ... #causes
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... and hepatorenal syndrome ... Clues to non-cirrhotic ... #Hypertension # ... #hepatology
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
Hypertension ... In this case the ... #Hypertension # ... direction #veins #cirrhosis ... #hepatology
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 Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... Normal Peritoneum ... Portal hypertension ... disease - Cirrhosis ... #differential #hepatology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Hepatorenal Syndrome ... No haematuria, Normal ... - No other cause ... - No other cause ... HRSAKI #HRSNAKI #hepatology
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow Vein Milking technique can be used
determine the cause ... • Normal veins ... • Portal Hypertension ... physicalexam #diagnosis #hepatology ... #cirrhosis #obstruction
Causes of Thrombocytopenia - Differential Diagnosis Framework Decreased Production: - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
Causes of Thrombocytopenia ... antiphospholipid syndrome ... sequestration: - Cirrhosis ... with portal HTN ... Diagnosis #Framework #hematology
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins 60 y/o hx of seizures &
of seizures & cirrhosis ... What is the cause ... hypertension suggesting ... #Milking #SVC #syndrome ... veins #Clinical #Video
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