7 results
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
and Caput Medusae ... determine the cause ... DrArunKValsan #Caput ... physicalexam #diagnosis #hepatology ... #cirrhosis #obstruction
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
of Caput Medusae ... In this case the ... away from the umbilicus ... #direction #veins ... #cirrhosis #hepatology
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
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... (SAAG>I.I), esophageal ... to non-cirrhotic ... portal HTN: • Ascites ... #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) ... >1.1 g/dl): - Cirrhosis ... " Low albumin ... without cirrhosis ... Differential #Diagnosis #hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Prehepatic: • Portal vein ... thrombosis • Splenic vein ... - Hepatic: • Cirrhosis ... #Hepatology #causes
Portal Vein Thrombosis (PVT) Treatment Algorithm
 - If concern for ischemic: anti-coag+multidisciplinary care
 - W/o cirrhosis+recent
Portal Vein Thrombosis ... PVT) Treatment Algorithm ... : case-by-cased ... PVT #Treatment #management ... #Algorithm #hepatology