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diagnosis hepatology management treatment abdominal ammonia cirrhosis clinical differential hyperammonemia milking pathophysiology physicalexam shunt tips veins video bleeding caput chest
Transjugular Intrahepatic Portosystemic Shunt (TIPS) TIPS involves the creation of a low-resistance pathway between a hepatic vein
Transjugular Intrahepatic Portosystemic ... #Intrahepatic #Portosystemic
Transhepatic Intrajugular Portosystemic Shunt (TIPS) Indications: • Ascites / Hepatic Hydrothorax • Variceal Bleeding Cardiopulmonary, Renal, and
Transhepatic Intrajugular Portosystemic ... #Intrajugular #Portosystemic
Portosystemic collaterals in Cirrhosis Milking abdominal veins demonstrates centrifugal blood flow in caput medusae. Dr. Boby Varkey Maramattom
Portosystemic collaterals
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 Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Transjugular Intrahepatic Portosystemic
Non-cirrhotic Hyperammonemia - Differential Diagnosis Framework Hematologic & Vascular: • Multiple myeloma & Acute leukemia (plasma cells
• Congenital portosystemic
Schematic representation of the major sources of ammonia production and its excretory pathway (GI = gastrointestinal,
Disorders - Portosystemic
Esophageal Variceal Bleeding - Diagnosis and Management Summary PRE-ENDOSCOPY Vasoactive agents - Octreotide: • 50mcg bolus →
Transjugular intrahepatic portosystemic
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins 60 y/o hx of seizures &
development of the portosystemic
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 Hepatic Encephalopathy - Diagnosis and Management Summary Definition: • Alteration in brain function manifested by neuropsychiatric symptoms
insufficiency and/or portosystemic
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